SHANNON RENEE GULLY

SHREVEPORT, LA
NPI1013169093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  05628)
Enumeration Date2008-10-21
Last Update Date2008-10-21
Business Address
Ms. SHANNON RENEE GULLY FNP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Ms. SHANNON RENEE GULLY FNP
9319 BELDEN DR
SHREVEPORT, LA 71118-3538
Phone number: 318-671-7846
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