MEDICARE: JUANITA COKE M.D

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	2080P0201X	Pediatric Allergy/Immunology Physician	MD.025002	LA
2	208000000X	Pediatrics Physician	MD.025002	LA
3	2080P0201X	Pediatric Allergy/Immunology Physician	A162224	CA

General Provider Information

NPI Number	:	1902267222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUANITA COKE M.D

Provider Business Mailing Address
First Line	:	1541 KINGS HWY
Second Line	:	ATTN: PAYOR CREDENTIALING
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-4228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1541 KINGS HWY
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-4228
Country	:	US
Telephone Number	:	318-626-0000
Fax Number	:

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

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	03/12/2026

Similar Medicare Providers

1902823966 — SAMI LABIB BAHNA M.D.
Practice Location Address:

1501 KINGS HWY , DEPARTMENT OF PEDIATRIC, SECTION OF ALLERGY & IMMUNOLOG
SHREVEPORT, LA
71103-4228

Practice Phone: 318-675-8601
Practice Fax: 318-675-8872

1073521647 — TONYA MARIA CLAYTON M.D.
Practice Location Address:

1501 KINGS HWY , DEPARTMENT OF PEDIATRICS
SHREVEPORT, LA
71103-4228

Practice Phone: 318-675-7737
Practice Fax: 318-675-5666

1588218036 — ADIL KHAN
Practice Location Address:

1541 KINGS HWY
SHREVEPORT, LA
71103-4228

Practice Phone: 318-626-0000
Practice Fax:

1952258162 — JERI LYNN JORDAN FNP-C
Practice Location Address:

1541 KINGS HWY
SHREVEPORT, LA
71103-4228

Practice Phone: 318-451-8573
Practice Fax:

1154990489 — BRIANA MICAELA MILLER MD
Practice Location Address:

1501 KINGS HWY
SHREVEPORT, LA
71103-4228

Practice Phone: 318-626-4300
Practice Fax:

1780530105 — ALLIE PEEVER
Practice Location Address:

1501 KINGS HWY
SHREVEPORT, LA
71103-4228

Practice Phone: 318-675-5000
Practice Fax:

Directions to “ JUANITA COKE M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.