Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANIKA BROUSSARD
ActiveSHANIKA BROUSSARD is a Adult Companion healthcare provider located in BAY SAINT LOUIS, Mississippi. NPI 1265034516 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · BAY SAINT LOUIS, MS
Registration Details
- NPI Number
- 1265034516
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2020 (5.7885246239981 yrs)
- Last Updated
- Nov 11, 2020
Practice Information
- Address
-
6163 E LAMAR STBAY SAINT LOUIS, MS, 395208267Browse MS providers · Browse ZIP 39520
- Phone
- 5049085893
- Primary Specialty
-
Adult Companion
372600000X
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.