Individual
SHANNON MARISSA ESPINOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-1158
Mailing address
621 N HALL ST, DALLAS, TX 75226-1339
(214) 820-0667
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP137503
TX
Other
Enumeration date
05/16/2018
Last updated
06/28/2023
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