Individual
SHONTELL ANITA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
3404 PARHAM DR, GRAND PRAIRIE, TX 75052-8053
(309) 779-8135
Mailing address
3404 PARHAM DR, GRAND PRAIRIE, TX 75052-8053
(309) 779-8135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
891095
TX
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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