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Shannon D Leake, APRN,FNP-C
Family Nurse Practitioner in Mount Pleasant, Texas
NPI 1598304115

Shannon D Leake is a Family Nurse Practitioner based in Mount Pleasant, TX and is specialized in Family. Shannon D Leake practices in Mount Pleasant, TX and has the professional credentials of APRN,FNP-C. The NPI Number for Shannon D Leake is 1598304115 and holds a License No. AP144577 (Texas).

The current practice location address for Shannon D Leake is 410 N Jefferson Ave # 262, Mount Pleasant, TX and can be reached out via phone at 903-287-5788 and via fax at 903-213-9031.

Location: 410 N Jefferson Ave # 262, Mount Pleasant, TX, 75455-3937
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Provider Profile Details
NPI Number
1598304115
Provider Name
Shannon D Leake
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
410 N Jefferson Ave # 262, Mount Pleasant, TX, 75455-3937
Phone Number
903-287-5788
Fax Number
903-213-9031
Provider Enumeration Date
12/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
63678 01 NM NEW MEXICO BOARD OF NURSING
0002825-C-NP 01 CO COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO
AP144577 01 TX TEXAS BON
institution
Provider Business Practice Location Address Details
Address
410 N Jefferson Ave # 262
City
State
Zip
75455-3937
Phone Number
903-287-5788
Fax Number
903-213-9031
person
Provider Business Mailing Address Details
Address
410 N Jefferson Ave # 262
City
State
Zip
75455-3937
Phone Number
903-287-5788
Fax Number
903-213-9031
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP144577 (Texas)
Definition
Definition to come...
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