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Mrs. Shannon Dezonia, FNP
Family Nurse Practitioner in Mansfield, Texas
NPI 1558788117

Shannon Dezonia is a Family Nurse Practitioner based in Mansfield, TX and is specialized in Family. Shannon Dezonia practices in Mansfield, TX and has the professional credentials of FNP. The NPI Number for Shannon Dezonia is 1558788117 and holds a License No. 771109 (Texas).

The current practice location address for Shannon Dezonia is 1720 E Broad St, Mansfield, TX and can be reached out via phone at 817-453-5912.

Location: 1720 E Broad St, Mansfield, TX, 76063-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558788117
Provider Name
Shannon Dezonia
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1720 E Broad St, Mansfield, TX, 76063-3400
Phone Number
817-453-5912
Fax Number
Provider Enumeration Date
03/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1720 E Broad St
City
Mansfield
State
Texas
Zip
76063-3400
Phone Number
817-453-5912
Fax Number
person
Provider Business Mailing Address Details
Address
1720 E Broad St
City
Mansfield
State
Texas
Zip
76063-3400
Phone Number
817-453-5912
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
771109 (Texas)
Definition
Definition to come...
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