Individual
MRS. SHELLEY D LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1914 JOHNSON ST, JENNINGS, LA 70546-3628
(337) 824-6150
(337) 824-6152
Mailing address
1914 JOHNSON ST, JENNINGS, LA 70546-3628
(337) 824-6150
(337) 824-6152
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN075272-AP03656
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1432377
—
LA
Enumeration date
06/22/2005
Last updated
03/03/2011
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