Individual
EMILY SHANNON GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3101 LAKE ST STE 101, LAKE CHARLES, LA 70601-9944
(337) 855-5154
Mailing address
3235 ROBIN LN, LAKE CHARLES, LA 70611-6412
(337) 515-1437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212170
LA
Other
Enumeration date
04/09/2020
Last updated
02/27/2026
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