Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joan Blake, MSNAPRNACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1558181982

Joan Blake, MSNAPRNACNPC-AG is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2024, 2 years ago. Practices with Wk Tri-State Medical Clinic, a 13-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2024
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Practice location Address checks out

2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989
Phone: (318) 621-2929
Fax: (318) 621-2930
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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 237621 (LA)

Record details

NPI number1558181982
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNAPRNACNPC-AG
Sole proprietorNo
NPI enumeratedOctober 11, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address2551 Greenwood Rd Ste 410, Shreveport, LA 71103-3989

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wk Tri-State Medical Clinic — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shreveport