Magnolia Diagnostic Services Inc
Magnolia Diagnostic Services Inc is a Nurse Practitioner in Shreveport, Louisiana. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4005 Lakeshore DrShreveport, LA 71109-1927
Phone: (318) 840-9074
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1770375768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dewarrent Brantley — Ceo/Owner · (318) 840-9074 |
| NPI enumerated | May 19, 2025 |
| Last updated in NPPES | May 22, 2025 |
| Certification date | May 22, 2025 |
| Mailing address | 4005 Lakeshore Dr, Shreveport, LA 71109-1927 |
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Lihong Liu, NP
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Shawna Marie Longoria, FNP
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Walter Matheny II, APRNFNP-C
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Shannon L McTire, NP
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