Individual
SHANNON PAUL PIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 726-2655
(985) 643-9808
Mailing address
1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
(985) 649-1152
(985) 643-9808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN113095
LA
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP07022
LA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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