Gina Yi Inthavong
NURSE PRACTITIONER | Nurse Practitioner | 4+ years Exp
1800 Buckner St Ste C120, Shreveport
Louisiana, 71101-4453
318-227-8899
Gina Yi Inthavong is a Shreveport, Louisiana based nurse practitioner with 4 years of experience in . She completed her graduation in 2021. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gina Yi Inthavong is 221149 in Louisiana. Her current practice location is 1800 Buckner St Ste C120, Shreveport. Patients can reach her at 318-227-8899 or can fax her at 318-425-3793. Gina Yi Inthavong is NURSE PRACTITIONER and her NPI number (Unique professional ID assigned by NPPES) is 1912579301.
Gina Yi Inthavong has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Gina Yi Inthavong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Gina Yi Inthavong |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1800 Buckner St Ste C120, Shreveport,
Louisiana, 71101-4453 |
| Phone: | 318-227-8899 |
| Fax: | 318-425-3793 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2264839380 |
| Enrollment ID: | I20210916000499 |
| NPI Number: | 1912579301 |
| NPI Enumeration Date: | 14 Jul, 2021 |
| NPI Last Update On: | 14 Jul, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gina Yi Inthavong are as mentioned below.
| License Number | Specialization | State | Status | |
| 221149 | | Louisiana | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (190111) | Shreveport, LA | Acute Care Hospital |
| (190118) | Mansfield, LA | Acute Care Hospital |
| (190041) | Shreveport, LA | Acute Care Hospital |
| (190088) | Springhill, LA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Gina Yi Inthavong is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Northwest Louisiana Nephrology, Llc (7911996509) | 20 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Gina Yi Inthavong
1800 Buckner St Ste C120,
Shreveport, Louisiana |
| Zip: | 71101-4453 |
| Phone Number: | 318-227-8899 |
| Fax Number: | 318-425-3793 |
Patients can reach Gina Yi Inthavong at
1800 Buckner St Ste C120, Shreveport, Louisiana or can
call to book an appointment on 318-227-8899.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.