Pickens, Shannon C

Pickens, Shannon C is an individual health care provider with primary practice located at 3926 Barron St Ste C208 , Metairie LA 70002-5797. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Pickens, Shannon C can be contacted via phone (504) 354-2064.

Contact Information

Primary practice address
3926 Barron St Ste C208 Metairie LA 70002-5797
Phone: (504) 354-2064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD025591 Louisiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 025591 Louisiana

Profile Details

NPI number 1720267560
LBN Legal business name Pickens, Shannon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Sep 19th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720267560 NPPES
Louisiana MEDICAID 1050342
Louisiana Other MD025591

Popular Providers