Individual
LATASHA DINYEL SHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4502 HWY 951, JACKSON, LA 70748
(225) 634-0100
Mailing address
4502 HWY 951, JACKSON, LA 70748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09535
LA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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