# SHELLEY SPEED ACNP-C PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003188665
- **Authorized official:** SHELLEY SPEED ACNP-C (OWNER)
- **Authorized official phone:** (214) 384-6591

## Contact information

- **Practice address:** 1310 HOLLYWOOD AVE, DALLAS, TX 75208-7725
- **Practice address phone:** (214) 384-6591
- **Mailing address:** 1310 HOLLYWOOD AVE, DALLAS, TX 75208-7725
- **Mailing address phone:** (214) 384-6591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2012
- **Last updated:** 06/29/2012