Individual
SHANNON CATHERINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
5750 STAGS LEAP APT 101, THE COLONY, TX 75056-4931
(515) 822-1409
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1096258
TX
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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