Individual
MRS. CHARLIE PENNY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 345-2700
Mailing address
15744 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 345-4484
(985) 345-0782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115580-0697
LA
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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