Individual
SHONTA R FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2301 MOSS ST, LAFAYETTE, LA 70501-2125
(337) 706-7400
Mailing address
1131 EUNICE RD, SAINT MARTINVILLE, LA 70582-6107
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223005
LA
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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