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

Amanda Lynn Herzog, FNP-C

Individual provider Family Nurse Practitioner · NPI 1588344063

Amanda Lynn Herzog, FNP-C is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2023, 3 years ago. Practices with Wk Arklatex Urology and Prostate Cancer Institute, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
3
Licensed in
LA
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

255 Bert Kouns Industrial Loop
Shreveport, LA 71106-8150
Phone: (318) 683-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2449 Hospital Dr Ste 340, Bossier City, LA 71111-1912 — (318) 841-4004

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 231657 (LA)

Record details

NPI number1588344063
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wk Arklatex Urology And Prostate Cancer Institute — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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