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NPI Code Detail

MEDICARE: KRISTA RENEE KNIPPERS

MEDICARE: KRISTA RENEE KNIPPERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN158376LA

General Provider Information

NPI Number : 1518831684
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA RENEE KNIPPERS
Provider Business Mailing Address
First Line : 8600 GLEN HAVEN DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71106-6220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1512 DOCTORS DR
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-3322
Country : US
Telephone Number : 318-746-7272
Fax Number : 318-746-7212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2025
Last Update Date : 04/15/2026

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Directions to “ KRISTA RENEE KNIPPERS ” Practice Location

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