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Individual

JUSTIN SHANKS

Active
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Individual

JUSTIN SHANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP144044
TX
363LF0000X
Family Nurse Practitioner
Primary
AP144044
TX
363LF0000X
Family Nurse Practitioner
F09191673
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP144044
TEXAS BOARD OF NURSING
TX
Enumeration date
10/03/2019
Last updated
08/06/2025
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