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NPI Code Detail

MEDICARE: MS. WILSHUNDA GEORGE NP-C

MEDICARE: MS. WILSHUNDA GEORGE NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner223704LA

General Provider Information

NPI Number : 1447845987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WILSHUNDA GEORGE NP-C
Provider Business Mailing Address
First Line : 2352 FERNBROOK DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-5215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 510 E STONER AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-4243
Country : US
Telephone Number : 318-655-3029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2021
Last Update Date : 04/21/2026

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