Individual
SHANNON FINKLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11454 FM 2710, LINDALE, TX 75771-7063
(903) 805-1615
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1V0021
MEDICARE
TX
05
—
430167301
—
TX
01
—
8QH589
BCBS
TX
Enumeration date
03/31/2020
Last updated
12/20/2021
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