MS. SHANNON RENEE GULLY FNP
NPI 1013169093
Nurse Practitioner - Family in Shreveport, LA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since October 21, 2008

510 E STONER AVE, SHREVEPORT, LA 71101(318) 221-8411 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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

NPI1013169093

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SHANNON RENEE GULLYCredential: FNP

Location Address510 E STONER AVEShreveport, LA 71101-4243

Mailing Address9319 Belden DrShreveport, LA 71118-3538 · (318) 671-7846

Phone(318) 221-8411

Sole ProprietorNo

Enumeration DateOctober 21, 2008

✔ NPI 1013169093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · 05628

510 E STONER AVE, Shreveport, LA 71101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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.

PHILIP ASSAAD HADDAD MD

Internal Medicine (Hematology & Oncology)