Individual
SHELLEY C DEBUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
10601 N RIVERSIDE DR, FORT WORTH, TX 76244-2118
(817) 347-2600
(817) 347-2670
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP138845
TX
Other
Enumeration date
01/10/2019
Last updated
10/03/2022
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