| Doctor Name: | MRS. SHANTELL BURNS |
| NPI Number: | 1003205931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, PMHNP-BC |
| License Number: | 112848 |
| Business Practice Address: | 10517 Kentshire Ct Baton Rouge, LA - 708102853 |
| Business Phone Number: | 2254562884 |
| Business Fax Number: | 2254562892 |
| Mailing Address: | 10517 Kentshire Ct, BATON ROUGE |
| State: | LA |
| Postal Code: | 708102853 |
| Phone Number: | 2254562884 |
| Fax Number: | 2254562892 |
| NPI Enumeration Date: | 01/15/2015 |
| NPI Last Update Date: | 12/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 112848 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |