MS. SHANNON RENEE GULLY FNP
NPI 1013169093
Nurse Practitioner - Family in Shreveport, LA
About Ms. Shannon Renee Gully Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANNON RENEE GULLY FNP (NPI 1013169093) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (05628) and active in the NPI registry since October 2008.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shannon Gully's NPI number?
The NPI number for Shannon Gully is 1013169093. It was assigned to this individual provider in the NPPES registry on October 21, 2008.
Where is Shannon Gully located?
Shannon Gully practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 221-8411.
What is Shannon Gully's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
What insurance does Shannon Gully accept?
Health plans from HMO Louisiana list Shannon Gully as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Gully was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Shannon Renee Gully, FNP · NPI 1013169093
Family physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since October 21, 2008.
## Identity
- **NPI:** 1013169093 (Entity type: Individual)
- **Enumerated:** October 21, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 05628 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 E STONER AVE, Shreveport, LA 71101-4243
- **Phone:** (318) 221-8411
## Record status
- **NPPES last updated:** October 21, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1013169093) · Data from the CMS NPPES public registry.