Individual
SHAWANNA MARIE GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
811 ALBERTSON PKWY STE G, BROUSSARD, LA 70518-5256
(337) 290-8520
Mailing address
PO BOX 2651, OPELOUSAS, LA 70571-2651
(337) 384-9219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07537
LA
Other
Enumeration date
10/03/2013
Last updated
01/03/2022
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