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

Mr. Donald Glyn Gardner II

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578183208

Mr. Donald Glyn Gardner II is a Nurse Practitioner in Bossier City, Louisiana. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1000 Chinaberry Dr Ste 502
Bossier City, LA 71111-2462
Phone: (318) 232-2749
Fax: (318) 620-4031
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 214187 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 214187 (LA)

Record details

NPI number1578183208
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2020
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bossier City