Most Relevant Information
Provider Data
| NPI Number: | 1003517897 |
| Provider Name: | SHEKESHA NICOLE WHITE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 260752 |
Most Important Dates
| Enumeration Date: | 03/17/2023 |
| Last Updated: | 03/17/2023 |
Provider Practice Location
4800 S GRAND ST
MONROE
LA
712026412
Practice Location Phone/Fax
| Phone: | 3183623339 |
| Fax: | 3183623336 |
Provider Mailing Location
4800 S GRAND ST
MONROE
LA
712026412
Provider Mailing Phone/Fax
| Phone: | 3183623339 |
| Fax: | 3183623336 |