Individual
SHAINA A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PHMNP-BC
Contact information
Practice address
250 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6170
(817) 997-4525
Mailing address
12412 TIMBERLAND BLVD STE 300, FORT WORTH, TX 76244-5228
(682) 593-6001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1168756
TX
Other
Enumeration date
07/22/2024
Last updated
08/19/2024
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