person
Mrs. Shannon Boothe Brewer, NP-C
Family Nurse Practitioner in Monroe, Louisiana
NPI 1174831861

Shannon Boothe Brewer is a Family Nurse Practitioner based in Monroe, LA and is specialized in Family. Shannon Boothe Brewer practices in Monroe, LA and has the professional credentials of NP-C. The NPI Number for Shannon Boothe Brewer is 1174831861 and holds a License No. AP06290 (Louisiana).

The current practice location address for Shannon Boothe Brewer is 4864 Jackson St, Monroe, LA and can be reached out via phone at 318-330-7658 and via fax at 318-330-7648.

Location: 4864 Jackson St, Monroe, LA, 71202-6400
person
Provider Profile Details
NPI Number
1174831861
Provider Name
Shannon Boothe Brewer
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
4864 Jackson St, Monroe, LA, 71202-6400
Phone Number
318-330-7658
Fax Number
318-330-7648
Provider Enumeration Date
09/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2136607 05 LA
institution
Provider Business Practice Location Address Details
Address
4864 Jackson St
City
State
Zip
71202-6400
Phone Number
318-330-7658
Fax Number
318-330-7648
person
Provider Business Mailing Address Details
Address
4864 Jackson St
City
State
Zip
71202-6400
Phone Number
318-330-7658
Fax Number
318-330-7648
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP06290 (Louisiana)
Definition
Definition to come...
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