Individual
SHANNON DALE HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19503 LAKE CHARLES HWY, DERIDDER, LA 70634-2313
(337) 918-0422
(337) 234-3484
Mailing address
19503 LAKE CHARLES HWY, DERIDDER, LA 70634-2313
(337) 918-0422
(337) 234-3484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202005
LA
363LF0000X
Family Nurse Practitioner
Primary
F1081710
LA
Other
Enumeration date
12/26/2018
Last updated
03/21/2024
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