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

Katie Lianne Jubala, FNP-C

Individual provider Nurse Practitioner · NPI 1063043271

Katie Lianne Jubala, FNP-C is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2019, 7 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
7
Licensed in
LA, TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 675-6153
Fax: (318) 675-8081
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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 21224 (LA)
Adult Medicine Physician Taxonomy 207QA0505X · Licence AP144824 (TX)

Record details

NPI number1063043271
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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 Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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