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

Mr. Andre Jacob Carpenter, PA

Individual provider Physician Assistant · NPI 1255618591

Mr. Andre Jacob Carpenter, PA is a Physician Assistant in Shreveport, Louisiana. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2751 Albert L Bicknell Dr 4th Fl
Shreveport, LA 71103-3920
Phone: (318) 212-4275
Fax: (318) 212-4555
Show map & directions

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

Additional practice locations (1)

  • 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103-3939 — (318) 212-8350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA200495 (LA)

Record details

NPI number1255618591
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 15, 2011
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021

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