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

Individual provider Physician Assistant · NPI 1063694768

Erin Jackson Dicharry, PA is a Physician Assistant in Shreveport, Louisiana. Qualified in 2007, 19 years ago. Practices with Wk Tri-State Medical Clinic, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
19
Licensed in
LA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989
Phone: (318) 621-2929
Fax: (318) 621-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2727 Hearne Ave, Shreveport, LA 71103-3931 — (318) 798-9400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 200154 (LA)

Record details

NPI number1063694768
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 4, 2007
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Wk Tri-State Medical Clinic — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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