Individual
VIRGINIA L SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 408-0797
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 408-0797
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5785
TN
363LF0000X
Family Nurse Practitioner
Primary
810668
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122700
—
MS
05
—
3342891
—
TN
Enumeration date
09/12/2005
Last updated
11/19/2020
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