Individual
SHEYENNE W CARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
845 OLIVE ST, SUITE A, SHREVEPORT, LA 71104-2141
(318) 226-4892
(318) 227-4927
Mailing address
845 OLIVE ST, SUITE A, SHREVEPORT, LA 71104-2141
(318) 226-4892
(318) 227-4927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200925
LA
208000000X
Pediatrics Physician
Primary
MD.200925
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1214728
—
LA
05
—
180367001
—
AR
05
—
209258701
—
TX
05
—
21472
—
LA
Enumeration date
05/24/2007
Last updated
06/21/2021
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