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

Individual provider Certified Registered Nurse Anesthetist · NPI 1669712212

Jill Richie Prime, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shreveport, Louisiana. Qualified in 2012, 14 years ago. Practices with University Health Shreveport, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Licensed in
LA
In the registry since
2013
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

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 675-5584
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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 AP07168 (LA)

Record details

NPI number1669712212
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 19, 2013
Last updated in NPPESFebruary 19, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Health Shreveport, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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