Individual
SHANNON MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7516 BLUEBONNET BLVD # 148, BATON ROUGE, LA 70810
(504) 723-1875
Mailing address
7516 BLUEBONNET BLVD # 148, BATON ROUGE, LA 70810-1627
(504) 723-1875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.206003
LA
207Q00000X
Family Medicine Physician
MT197201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02929355
—
MS
05
—
2340107
—
LA
Enumeration date
06/07/2010
Last updated
08/21/2019
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