Individual
SIJI SHELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2107 PRESIDIO CIR, EULESS, TX 76040-5722
(682) 217-7746
Mailing address
2107 PRESIDIO CIR, EULESS, TX 76040-5722
(682) 217-7746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1124681
TX
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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