| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Shannon Leonnie Youngblood · Shannon Youngblood | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Shannon | [sources] | |||
| Last name | Youngblood | [sources] | |||
| Middle name | Leonnie | [sources] | |||
| NPI | 1902030273 | [sources] | |||
| Registration number | 4430 · 705630 | [sources] | |||
| Sector | Certified Registered Nurse · Nurse Anesthetist · Registered Nurse | [sources] | |||
| Address | 65 Bill Gunter Road, Lecompte, LA, 71346 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
Medical providers excluded from Louisiana's Medicaid program.
United States · LDH
us-medla-2388d59f7280d0f202f4ade3c99227241dc8227d · us-medca-0c563d193c9866ea3c60a18b464c41524538df9dFor experts: raw data explorer
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| United States | Department of Health Care Services | - | - |