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Shanika Broussard — NPI 1265034516, Bay Saint Louis, MS | NPI Central

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Shanika Broussard

NPI 1265034516 · Adult Companion · Bay Saint Louis, MS

Provider details

NPI number: 1265034516
Entity type: Individual
Primary specialty: Adult CompanionNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Adult CompanionPrimary372600000X
Nursing Service Related Providers

Practice location

6163 E Lamar St

Bay Saint Louis, MS 39520-8267

Phone: (504) 908-5893

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

1110 Cowan Rd.

Gulfport, MS 39507

Registry dates

Enumerated: 2020-11-11
Last updated: 2020-11-11
Certified: 2020-11-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.