Individual
SHANNEN LYNN DUMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(254) 553-3764
(254) 288-8995
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(254) 669-5454
(254) 288-8995
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
730972
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
730972
TX
Other
Enumeration date
05/06/2010
Last updated
04/15/2025
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