Individual
MADELINE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9511
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
346330
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2585932
—
LA
Enumeration date
03/26/2022
Last updated
10/28/2025
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