SHANNON L MCTIRE

SHREVEPORT, LA
NPI1942438411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  AP05879)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: LA  AP05879)
Enumeration Date2009-06-23
Last Update Date2025-07-18
Business Address
SHANNON L MCTIRE NP
1500 LINE AVE SUITE 204
SHREVEPORT, LA 71101-4639
Phone number: 318-629-5001
Mailing Address
SHANNON L MCTIRE NP
1500 LINE AVE SUITE 202
SHREVEPORT, LA 71101-4639
Phone number: 318-629-5505