Individual
DR. SHANNON HEXTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1415 TULANE AVE FL 5, NEW ORLEANS, LA 70112-2600
(504) 988-5561
Mailing address
1430 TULANE AVENUE, #8047, NEW ORLEANS, LA 70112-3006
(504) 988-5565
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
321977
LA
Other
Enumeration date
04/08/2014
Last updated
04/28/2021
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