MEDICARE: TIFFANY GEORGE-ISAAC NP

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
1	363LA2200X	Adult Health Nurse Practitioner	AP07008	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP07008	LA

General Provider Information

NPI Number	:	1760738801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY GEORGE-ISAAC NP

Provider Business Mailing Address
First Line	:	7860 OAK CREEK TRL
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71129-8811
Country	:	US
Telephone Number	:	318-425-9965
Fax Number	:	318-828-2521

Provider Business Practice Location Address
First Line	:	7505 PINES RD STE 1100
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71129-3900
Country	:	US
Telephone Number	:	318-425-9965
Fax Number	:	318-828-2521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2012
Last Update Date	:	06/18/2025

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Directions to “ TIFFANY GEORGE-ISAAC NP” Practice Location

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