Individual
MRS. SHENYA WILLIAMS-PENNYWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1007 GOULD DRIVE BLDG 2, SUITE 1, BOSSIER CITY, LA 71111
(318) 606-4375
Mailing address
6007 FINANCIAL PLZ STE 5C, SHREVEPORT, LA 71129-2638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
163WC0400X
Case Management Registered Nurse
RN099377
LA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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