Individual
SHANEKQUA SHARMAINE MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 655-6422
Mailing address
9516 AIRLINE HWY, BATON ROUGE, LA 70815-5501
(225) 655-6422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209243
LA
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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