Shawndolyn Kenyitta Lebine, NP
Nurse Practitioner, Family in Lafayette, LA. Individual provider (NPI-1).
NPI number1295083137
StatusActive
Last updated in NPPESNov 16, 2021
Details
- NPI
- 1295083137
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shawndolyn Kenyitta Lebine
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2012
- Certification date
- Nov 16, 2021
- Last updated
- Nov 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP07033 | LA | Yes |
Practice location
539 Bertrand DrLafayette, LA 70506-5556
Phone 337-294-1230 · Fax 833-749-0347
Mailing address
Po Box 616788Orlando, FL 32861-6788
Phone 407-533-6836 · Fax 407-770-0661
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