Individual
AMANDA MAY SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 RIVERWOOD CT STE 105, CONROE, TX 77304-2824
(936) 760-4454
Mailing address
3689 PIN OAK DR, CONROE, TX 77301-5835
(713) 256-8695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1161653
TX
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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