Individual
MRS. SHELLY KAYE GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN C-FNP
Contact information
Practice address
277 US 171 #10, LAKE CHARLES, LA 70611
(337) 217-7762
Mailing address
612 MILL CREEK ACRES, BROOKELAND, TX 75931
(337) 515-2971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04498
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465577
—
LA
01
—
MD2751635
DEA
LA
Enumeration date
06/05/2006
Last updated
07/21/2025
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