Individual provider · Type 1 NPI

Shelley C. Debusk, CPNP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1104399286 Active

Practice location

10601 N Riverside Dr
Fort Worth, TX 76244-2118

Fax (817) 347-2670

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP138845 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104399286

Shelley C. Debusk, CPNP's National Provider Identifier is 1104399286, issued on Jan 10, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 3, 2022.