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MRS. SHANNON BOOTHE BREWER NP-C
NPI 1174831861
Nurse Practitioner - Family in Monroe, LA

Active since September 16, 2010
4864 JACKSON ST, MONROE, LA 71202(318) 330-7658(318) 330-7648 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Shannon Boothe Brewer Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON BOOTHE BREWER NP-C (NPI 1174831861) is an individual family provider in Monroe, Louisiana, licensed in Louisiana (AP06290) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1174831861
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON BOOTHE BREWERCredential: NP-C
Location Address4864 JACKSON STMonroe, LA 71202-6400
Mailing Address4864 Jackson StMonroe, LA 71202-6400 · (318) 330-7658 · Fax (318) 330-7648
Phone(318) 330-7658
Fax(318) 330-7648
Sole ProprietorNo
Enumeration DateSeptember 16, 2010
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1174831861 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
Licenses✔ Licensed in LA · AP06290✔ Licensed in MS · R853766
4864 JACKSON ST, Monroe, LA 71202
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Other Identifiers 1

Medicaid2136607LA

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.

DR. EDDYE BLOSSOM II MD
Obstetrics & Gynecology
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626
MISS KANDICE NICOLE HUNTER APRN, AGNP
Nurse Practitioner
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7000
HARNOOR SANDHU
Student in an Organized Health Care Education/Training Program
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7600
JEFFERY FULLER M.D.
Emergency Medicine
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202
Ouachita Parish (318) 675-7737
DR. WILLIAM TODD YATES MD
Family Medicine
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626
SHANKAR NADESAN MD
Student in an Organized Health Care Education/Training Program
4864 JACKSON ST, DEPT. OF FAMILY MEDICINE
MONROE, LA 71202
Ouachita Parish (318) 330-7615
ANN MARIE CLACK WHNP
Nurse Practitioner (Women's Health)
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7000
MR. JONATHAN D BREWER PA
Physician Assistant (Medical)
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626

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 Brewer's NPI number?

The NPI number for Shannon Brewer is 1174831861. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Where is Shannon Brewer located?

Shannon Brewer practices at 4864 Jackson St, Monroe, LA 71202. The listed phone number is (318) 330-7658.

What is Shannon Brewer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Brewer was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.