Individual
SHERI CLUNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1520 GAUSE BLVD, SLIDELL, LA 70458
(985) 646-0945
(985) 643-8510
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05622
LA
363LF0000X
Family Nurse Practitioner
R859605
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03006042
—
MS
01
—
1316124688
GROUP NPI
LA
05
—
1343528
—
LA
01
—
339164YYSM
MEDICARE GROUP PTAN
LA
01
—
5DD16
MEDICARE PTAN
LA
01
—
P00757391
RAILROAD MCARE THRU HCCN
MS
Enumeration date
04/09/2008
Last updated
07/03/2018
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