Individual provider · Type 1 NPI

Charlie Penny Shelton, FNP-C

Family Nurse Practitioner · Hammond, LA

NPI number 1861787954 Active

Practice location

15790 Paul Vega Md Dr
Hammond, LA 70403-1434

Mailing address

15744 Medical Arts Dr
Hammond, LA 70403-1446

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X115580-0697 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861787954

Charlie Penny Shelton, FNP-C's National Provider Identifier is 1861787954, issued on Jun 16, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hammond, LA. The record was last updated on Jun 16, 2011.