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Individual

SHANNA MCMULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
6216 RUTH ST, METAIRIE, LA 70003-4152
(504) 419-3761
Mailing address
3014 DAUPHINE ST STE A, NEW ORLEANS, LA 70117-6755
(504) 419-3761

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN139294
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242537
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70048766
WA

Other

Enumeration date
12/19/2025
Last updated
04/15/2026
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