Individual
AMY SHONK EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4111 UNIVERSITY BLVD, TYLER, TX 75701-6623
(903) 266-3400
Mailing address
17390 FISHERMANS DR, TROUP, TX 75789-3700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1046878
TX
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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