Individual
SHANTELLE JANE GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
623663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623663
NP LICENSE
TX
Enumeration date
07/24/2008
Last updated
06/16/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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