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Individual
MRS. MARY C SHELLNUTT
Active
Individual
MRS. MARY C SHELLNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
AP128617
TX
364SA2200X
Adult Health Clinical Nurse Specialist
AP128617
TX
364SG0600X
Gerontology Clinical Nurse Specialist
AP128617
TX
Other
Enumeration date
09/23/2015
Last updated
03/12/2024
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