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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE LOUIS PENNISON, APRN, FNP-C

Active

SHANE LOUIS PENNISON, APRN, FNP-C is a Nurse Practitioner healthcare provider located in WINNFIELD, Louisiana. NPI 1063142412 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · WINNFIELD, LA

Registration Details

NPI Number
1063142412
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2022 (4.1772224703405 yrs)
Last Updated
Jun 16, 2022
License
225854 (LA)

Practice Information

Address
431 W LAFAYETTE ST
WINNFIELD, LA, 714833463
Browse LA providers · Browse ZIP 71483
Phone
3186480375
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in WINNFIELD, LA

Name Credential NPI
MRS. KATHLEEN B RICHARDSON FNP 1588666994
DELINDA COCKERHAM FNP-C 1003515990
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.