Individual
MS. SHANNON LEIGH VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-4482
(985) 898-4451
(985) 898-4358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN-0994122-NP
CO
363LA2200X
Adult Health Nurse Practitioner
AP07689
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP07689
ADVANCED PRACTICE RN LICENSE
LA
Enumeration date
07/02/2014
Last updated
12/04/2019
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