Shannon Renee Robinson
Nurse Practitioner - Primary Care
17740 Preston Rd Ste 200c
Dallas
, Texas 75252-5840
Shannon Renee Robinson
Nurse Practitioner - Primary Care
17740 Preston Rd Ste 200c
Dallas
, Texas 75252-5840
(248) 890-8430
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Shannon Renee Robinson
- 2508 Kermit Dr
- Wylie, TX
- Zip : 75098-8226
- Phone : (248) 890-8430
Second Address
- Shannon Renee Robinson
- 17740 Preston Rd Ste 200c
- Dallas, TX
- Zip : 75252-5840
- Phone : (248) 890-8430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 1051895 | TX |
National Provider Identifier
| NPI | 1013685205 |
|---|---|
| Provider Name | Shannon Renee Robinson |
| First Address | Wylie, TX 75098-8226 |
| Second Address | Dallas, TX 75252-5840 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2021 |
| Last Update Date | 01/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.