Individual provider · Type 1 NPI
Justin Shanks, FNP-C
Family Nurse Practitioner · Midland, TX
NPI number
1205477874
Active
Practice location
4507 Santa Rosa Dr
Midland, TX 79707-2260
Mailing address
1218 Century Dr
Midland, TX 79703-6914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP144044 (TX) |
| Family Nurse Practitioner | 363LF0000X | F09191673 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP144044 (TX) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1205477874
Justin Shanks, FNP-C's National Provider Identifier is 1205477874, issued on Oct 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midland, TX. The record was last updated on Aug 6, 2025.