Individual
SHELBY LEIGH KORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, APRN
Contact information
Practice address
862 W RUSK ST, ROCKWALL, TX 75087-3421
(972) 412-3034
Mailing address
862 W RUSK ST, ROCKWALL, TX 75087-3421
(972) 412-3034
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1099216
TX
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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