person
Ms. Shannon Renee Gully, FNP
Family Nurse Practitioner in Shreveport, Louisiana
NPI 1013169093

Shannon Renee Gully is a Family Nurse Practitioner based in Shreveport, LA and is specialized in Family. Shannon Renee Gully practices in Shreveport, LA and has the professional credentials of FNP. The NPI Number for Shannon Renee Gully is 1013169093 and holds a License No. 05628 (Louisiana).

The current practice location address for Shannon Renee Gully is 510 E Stoner Ave, Shreveport, LA and can be reached out via phone at 318-221-8411.

Location: 510 E Stoner Ave, Shreveport, LA, 71118-3538
person
Provider Profile Details
NPI Number
1013169093
Provider Name
Shannon Renee Gully
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
510 E Stoner Ave, Shreveport, LA, 71118-3538
Phone Number
318-221-8411
Fax Number
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 E Stoner Ave
City
State
Zip
71101-4243
Phone Number
318-221-8411
Fax Number
person
Provider Business Mailing Address Details
Address
510 E Stoner Ave
City
State
Zip
71101-4243
Phone Number
318-221-8411
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
05628 (Louisiana)
Definition
Definition to come...
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