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

Individual provider Nurse Practitioner · NPI 1669060034

Jerry Lloyd Williford, NURSEPRACTITIONER is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2019, 7 years ago. Practices with Eastern Shoshone Tribe, a 17-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2021
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Practice location Address checks out

850 Olive St Ste A
Shreveport, LA 71104-2162
Phone: (318) 239-4860
Fax: (805) 295-4715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 211128 (LA)

Record details

NPI number1669060034
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 1, 2021
Last updated in NPPESJanuary 1, 2021
Certification dateJanuary 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eastern Shoshone Tribe — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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