SHANNON N AMACKER

PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC.

Dr SHANNON N AMACKER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.

Contact

PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC.

11990 JACKSON ST
CLINTON
LA
707223210

Tel: 2256835292

SHANNON N AMACKER Information

Npi 1154646388
Pac Id 0648457770
Professional Enrollment Id I20110526000757
Last Name AMACKER
First Name SHANNON
Middle Name N
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC.
Group Practice Pac Id 1052220985
Number Of Group Practice Members 27
Line 1 Street Address 11990 JACKSON ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLINTON
State LA
Zip Code 707223210
Phone Number 2256835292
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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