Individual
CALEB SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
5302 BUFFALO GAP RD, ABILENE, TX 79606-4246
(325) 307-6226
Mailing address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 307-6226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1097169
TX
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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