Provider Demographics
NPI:1962065094
Name:HONAKER, SHALYNNA DELL (WHNP-BC, MSN)
Entity type:Individual
Prefix:MRS
First Name:SHALYNNA
Middle Name:DELL
Last Name:HONAKER
Suffix:
Gender:F
Credentials:WHNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-3632
Mailing Address - Country:US
Mailing Address - Phone:318-661-0220
Mailing Address - Fax:318-661-0224
Practice Address - Street 1:111 ELLINGTON DR
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-3632
Practice Address - Country:US
Practice Address - Phone:318-661-0220
Practice Address - Fax:318-661-0224
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10149363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health