Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gabrielle Renee Waggoner

Individual provider Neonatal Intensive Care Registered Nurse · NPI 1124937479

Gabrielle Renee Waggoner is a Neonatal Intensive Care Registered Nurse in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2026.

Licensed in
LA
In the registry since
2026

Practice location Address checks out

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3180
Phone: (318) 707-2429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Intensive Care Registered Nurse (primary) Taxonomy 163WN0002X · Licence 201123 (LA)

Record details

NPI number1124937479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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