Individual provider · Type 1 NPI
Shannon Dale Hanks, NP
Family Nurse Practitioner · Deridder, LA
NPI number
1891267167
Active
Practice location
19503 Lake Charles Hwy
Deridder, LA 70634-2313
Fax (337) 234-3484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 202005 (LA) |
| Family Nurse Practitioner Primary | 363LF0000X | F1081710 (LA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1891267167
Shannon Dale Hanks, NP's National Provider Identifier is 1891267167, issued on Dec 26, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Deridder, LA. The record was last updated on Mar 21, 2024.