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Individual

SHANNETTA ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP1155423
TX
363LF0000X
Family Nurse Practitioner
AP1155423
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1155423
LICENSE
TX
Enumeration date
03/19/2024
Last updated
06/20/2024
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