Provider Demographics
NPI:1699478198
Name:ATASSI, NOUR YANNA (DO)
Entity type:Individual
Prefix:
First Name:NOUR
Middle Name:YANNA
Last Name:ATASSI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WILLIS-KNIGHTON MEDICAL CENTER
Mailing Address - Street 2:2600 GREENWOOD RD
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-3908
Mailing Address - Country:US
Mailing Address - Phone:318-212-8527
Mailing Address - Fax:
Practice Address - Street 1:WILLIS-KNIGHTON MEDICAL CENTER
Practice Address - Street 2:2600 GREENWOOD RD
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3908
Practice Address - Country:US
Practice Address - Phone:318-212-8527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program