Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON CALDWELL CLEMONS GOODE, MD
ActiveSleep Medicine · JEFFERSON, LA
Registration Details
- NPI Number
- 1508245689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2015 (10.918855482505 yrs)
- Last Updated
- Oct 8, 2024
- Licenses
-
323811 (LA)039.146919 (IL)
Practice Information
- Address
-
1221 S CLEARVIEW PKWYJEFFERSON, LA, 701211011Browse LA providers · Browse ZIP 70121
- Phone
- 5048426089
- Primary Specialty
-
Sleep Medicine
207RS0010X
- Additional Specialty
- Internal Medicine
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.