Individual
SHACARRIA NASHELLE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7505 PINES RD STE 1200-E, SHREVEPORT, LA 71129-3935
(318) 762-1667
Mailing address
7505 PINES RD STE 1200-E, SHREVEPORT, LA 71129-3935
(318) 762-1667
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20170348
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20170348
LICENSED PRACTICAL NURSE
—
Enumeration date
03/23/2020
Last updated
12/27/2020
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