Individual provider · Type 1 NPI

Shannon Marie Humphrey, APRN, CPNP

Pediatric Nurse Practitioner · San Antonio, TX

NPI number 1265002919 Active

Practice location

9139 Westover Hills Blvd Ste 101
San Antonio, TX 78251-2889

Fax (210) 437-3991

Mailing address

277 Buddy Ganem Dr Ste A
Portland, TX 78374-3202

Other practice locations

  • 333 N Santa Rosa, San Antonio, TX 78207-3108 · (210) 704-4100

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1045865 (TX)

Pediatric Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1265002919

Shannon Marie Humphrey, APRN, CPNP's National Provider Identifier is 1265002919, issued on Jun 25, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Aug 19, 2024.