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

Leisa Joan Roan, NP

Individual provider Family Medicine Physician · NPI 1568078392

Leisa Joan Roan, NP is a Nurse Practitioner in Bossier City, Louisiana. Qualified in 2020, 6 years ago. Practices with Bossier Family Medicine, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2539 Viking Dr Ste 100
Bossier City, LA 71111-1611
Phone: (318) 747-8105
Fax: (318) 747-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 214754 (LA)

Record details

NPI number1568078392
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bossier Family Medicine, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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