Donald Shane Debnam, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN084552-AP04146 Issued in LA

Practice address

1070 Jonesboro Road
Gpi - Plant 70 Medical Center
West Monroe, LA 71292

Phone

(318) 362-2099

Fax

(318) 362-2775

NPI assigned

Dec 22, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1356587372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 35800",
            "address_2": "GPI - PLANT 70 MEDICAL CENTER",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712945800",
            "telephone_number": "318-362-2099",
            "fax_number": "318-362-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 JONESBORO ROAD",
            "address_2": "GPI - PLANT 70 MEDICAL CENTER",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71292",
            "telephone_number": "318-362-2099",
            "fax_number": "318-362-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBNAM",
        "first_name": "DONALD",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN084552-AP04146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Davis, DC
• Kelli Davis
• Madison Davis
• Stephanie Davis, MSW, LCSW
• Kelsey Diane Dearmon, CPNP-PC
• Mark S. Debord, LCSW
• Seth Randall Debruhl, PH.D.
• Teresa Anne Deese, APRN MSN BC
• Kristin Delancy, SLP
• Varnado Delmore, M.S.

• Family Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.