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Justin Shanks, FNP-C
Family Nurse Practitioner in Midland, Texas
NPI 1205477874

Justin Shanks is a Family Nurse Practitioner based in Midland, TX and is specialized in Family. Justin Shanks practices in Midland, TX and has the professional credentials of FNP-C. The NPI Number for Justin Shanks is 1205477874 and holds a License No. AP144044 (Texas).

The current practice location address for Justin Shanks is 4507 Santa Rosa Dr, Midland, TX and can be reached out via phone at 432-683-8516.

Location: 4507 Santa Rosa Dr, Midland, TX, 79703-6914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205477874
Provider Name
Justin Shanks
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
4507 Santa Rosa Dr, Midland, TX, 79703-6914
Phone Number
432-683-8516
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP144044 01 TX TEXAS BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
4507 Santa Rosa Dr
City
Midland
State
Texas
Zip
79707-2260
Phone Number
432-683-8516
Fax Number
person
Provider Business Mailing Address Details
Address
4507 Santa Rosa Dr
City
Midland
State
Texas
Zip
79707-2260
Phone Number
432-683-8516
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP144044 (Texas)
Definition
Definition to come...
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