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

Mary Inman, ACNPC-AG

Individual provider Gerontology Nurse Practitioner · NPI 1780237701

Mary Inman, ACNPC-AG is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2019, 7 years ago. Practices with Ch Mssp Services La LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2019

Practice location Address checks out

1449 E Bert Koun Loop Ste 100
Shreveport, LA 71105-5680
Phone: (318) 629-0220
Fax: (318) 629-0230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 207290 (LA)

Record details

NPI number1780237701
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 18, 2019

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 Ch Mssp Services La Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shreveport