Individual provider · Type 1 NPI

Malory Shanks, FNP-C

Family Nurse Practitioner · Lubbock, TX

NPI number 1003382078 Active

Practice location

6104 Avenue Q South Dr
Lubbock, TX 79412-3700

Mailing address

6104 Avenue Q South Drive
Lubbock, TX 79412

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP139274 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1003382078

Malory Shanks, FNP-C's National Provider Identifier is 1003382078, issued on Oct 17, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lubbock, TX. The record was last updated on Sep 1, 2020.