Individual
SHEENA RENAYE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP STE 112, SHREVEPORT, LA 71105-6810
(318) 798-9400
Mailing address
1453 E BERT KOUNS INDUSTRIAL LOOP STE 112, SHREVEPORT, LA 71105-6810
(318) 798-9400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214801
LA
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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