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Shane Ashley Correa, NP
Family Nurse Practitioner in Tyler, Texas
NPI 1255801189

Shane Ashley Correa is a Family Nurse Practitioner based in Tyler, TX and is specialized in Family. Shane Ashley Correa practices in Tyler, TX and has the professional credentials of NP. The NPI Number for Shane Ashley Correa is 1255801189 and holds a License No. AP139832 (Texas).

The current practice location address for Shane Ashley Correa is 1000 S Beckham Ave, Tyler, TX and can be reached out via phone at 903-590-5611 and via fax at 903-535-6884.

Location: 1000 S Beckham Ave, Tyler, TX, 75713-0549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255801189
Provider Name
Shane Ashley Correa
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1000 S Beckham Ave, Tyler, TX, 75713-0549
Phone Number
903-590-5611
Fax Number
903-535-6884
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1908
Phone Number
903-590-5611
Fax Number
903-535-6884
person
Provider Business Mailing Address Details
Address
1000 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1908
Phone Number
903-590-5611
Fax Number
903-535-6884
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP139832 (Texas)
Definition
Definition to come...
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