Most Relevant Information
Provider Data
| NPI Number: | 1003205931 |
| Provider Name: | SHANTELL BURNS DNP, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | AP08173 |
Most Important Dates
| Enumeration Date: | 01/15/2015 |
| Last Updated: | 05/17/2022 |
Provider Practice Location
16270 AIRLINE HWY STE D
PRAIRIEVILLE
LA
707694589
Practice Location Phone/Fax
| Phone: | 2254022299 |
| Fax: | 8662589870 |
Provider Mailing Location
PO BOX 1109
PRAIRIEVILLE
LA
707691109
Provider Mailing Phone/Fax
| Phone: | 2254022299 |
| Fax: | 8662589870 |