Individual
SHELBY JOHNSON MOUGEOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8333 GOODWOOD BLVD, BATON ROUGE, LA 70806-7744
(225) 272-0106
Mailing address
9412 ROUND OAK DR, BATON ROUGE, LA 70817-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
226876
LA
Other
Enumeration date
06/13/2022
Last updated
04/12/2023
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