Individual
LISA MICHELLE SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APMHNP-BC
Contact information
Practice address
1245 S. MAIN ST., #120, GRAPEVINE, TX 76051
(817) 310-0722
Mailing address
2824 CARNABY LN, FLOWER MOUND, TX 75028-1520
(972) 510-4368
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
704973
TX
Other
Enumeration date
03/10/2009
Last updated
08/19/2011
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