Individual
SHAUNDELETTE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4336 NORTH BLVD STE 203, BATON ROUGE, LA 70806-3920
(225) 364-7767
Mailing address
4336 NORTH BLVD STE 203, BATON ROUGE, LA 70806-3920
(225) 364-7767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08669
LA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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