Branford, Shannon B

Branford, Shannon B is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Branford, Shannon B can be contacted via phone (504) 842-4000.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121-2429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP05428 Louisiana

Profile Details

NPI number 1578710448
LBN Legal business name Branford, Shannon B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2008
Last updated Oct 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578710448 NPPES
Mississippi MEDICAID 07524868
Mississippi MEDICAID 1336611

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