Individual
JEANELLE SHALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 LAZY LN APT A, SEALY, TX 77474-3535
(281) 845-1387
Mailing address
11929 UNIVERSITY BLVD STE 2M, SUGAR LAND, TX 77479-4757
(281) 238-8775
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206207
TEXAS BOARD OF NURSING
TX
Enumeration date
07/29/2018
Last updated
07/29/2018
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