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

Individual provider Certified Registered Nurse Anesthetist · NPI 1124325006

Jeremy Paul Prime, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shreveport, Louisiana. Qualified in 2010, 16 years ago. Practices with Christus Health Northern Louisiana, a 26-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP06350 (LA)

Record details

NPI number1124325006
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 11, 2011
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Christus Health Northern Louisiana — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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