Individual
SHIRLEY JEAN TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-4482
(985) 898-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06416
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03434023
—
MS
05
—
2176030
—
LA
Enumeration date
10/19/2011
Last updated
10/20/2016
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