Individual
SHELLY DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
6850 TPC DR STE 100, MCKINNEY, TX 75070-3145
(214) 383-4400
Mailing address
2401 BANNER ELK CIR, PLANO, TX 75025-2110
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP137566
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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