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Contact Information

CIERRA M TYNDALL, PA.
1666 E. BERT KOUNS
SUITE 105
SHREVEPORT, LA71105
 Phone: 318-212-3520
 Fax: 318-212-3525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CIERRA M TYNDALL · (Female)

NPI Number 1689984536
Status Active
Credentials PA.
Entity Individual
Enumeration date 10/13/2010
Last updated 03/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.200393
Hospital affiliation(s)
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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