Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shreveport Prime Care Inc

Organization Internal Medicine Physician · NPI 1144454646

Shreveport Prime Care Inc is an Internal Medicine Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2009.

Licensed in
LA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1513 Line Ave # 240
Shreveport, LA 71101-4621
Phone: (318) 402-2333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 017289 (LA)

Record details

NPI number1144454646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Jurgelsky — President · (318) 402-2333
NPI enumeratedMay 12, 2009
Last updated in NPPESMay 12, 2009
Mailing address1513 Line Ave # 240, Shreveport, LA 71101-4621

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