Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Dale Hanks, NP

Individual provider Family Nurse Practitioner · NPI 1891267167

Shannon Dale Hanks, NP is a Nurse Practitioner in Deridder, Louisiana. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
8
Licensed in
LA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

19503 Lake Charles Hwy
Deridder, LA 70634-2313
Phone: (337) 918-0422
Fax: (337) 234-3484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F1081710 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 202005 (LA)

Record details

NPI number1891267167
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 26, 2018
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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