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NPI Code Detail

MEDICARE: SHAWANN YVETTE JAMES LPN

MEDICARE: SHAWANN YVETTE JAMES LPN
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
1164W00000XLicensed Practical Nurse270542LA

General Provider Information

NPI Number : 1063972651
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWANN YVETTE JAMES LPN
Provider Business Mailing Address
First Line : 57805 NEW ERWIN DR
Second Line :
City : PLAQUEMINE
State : LA
Zip : 70764-2325
Country : US
Telephone Number : 225-485-4411
Fax Number :
Provider Business Practice Location Address
First Line : 11745 BRICKSOME AVE STE A3
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-2369
Country : US
Telephone Number : 225-485-4065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 03/21/2019

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