Provider Demographics
NPI:1154750818
Name:PRESLEY, STEVEN (PA-C)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:PRESLEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 JEFFERSON HWY # 246
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-8308
Mailing Address - Country:US
Mailing Address - Phone:225-663-6827
Mailing Address - Fax:225-615-7704
Practice Address - Street 1:5800 ONE PERKINS PLACE DR STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-9113
Practice Address - Country:US
Practice Address - Phone:225-224-8690
Practice Address - Fax:225-615-7704
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200675363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2372149Medicaid
MS02025353Medicaid
MS02025353Medicaid