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

Jacob Daniel Wade

Individual provider Acute Care Nurse Practitioner · NPI 1609559244

Jacob Daniel Wade is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2023, 3 years ago. Practices with Wk North Pulmonary and Critical Care, a 22-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
3
Licensed in
LA
In the registry since
2023
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Practice location Address checks out

2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone: (318) 212-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 231241 (LA)

Record details

NPI number1609559244
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

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 North Pulmonary And Critical Care — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport