Individual
CARL BENJAMIN SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7284
(318) 692-2198
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7284
(318) 692-2198
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN048952
LA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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