Individual
SHANNON BAUDOUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9605 JEFFERSON HWY, RIVER RIDGE, LA 70123-2550
(504) 739-9494
(504) 739-9495
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08943
LA
Other
Enumeration date
10/12/2016
Last updated
11/15/2021
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