Individual provider · Type 1 NPI

Shannon Parker, FNP-C

Family Nurse Practitioner · Tyler, TX

NPI number 1053744987 Active

Practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Fax (903) 262-3715

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP124123 (TX)
Family Nurse Practitioner 363LF0000X651266 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1053744987

Shannon Parker, FNP-C's National Provider Identifier is 1053744987, issued on Aug 14, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Sep 1, 2026.