Individual provider · Type 1 NPI
Shannon Kay Lewallen, FNP-BC
Family Nurse Practitioner · Mesquite, TX
NPI number
1447841630
Active
Practice location
4757 Salem Dr
Mesquite, TX 75150-1109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1017292 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447841630
Shannon Kay Lewallen, FNP-BC's National Provider Identifier is 1447841630, issued on Jan 29, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesquite, TX. The record was last updated on Jan 29, 2021.