Individual provider · Type 1 NPI

Shannon R. Dougrey, CPNP

Primary Care Nurse Practitioner · Fort Worth, TX

NPI number 1609065093 Active

Practice location

1401 W Pulaski St
Fort Worth, TX 76104-2717

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XAP116321 (TX)
Primary Care Nurse Practitioner Primary 363LP2300XAP116321 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1609065093

Shannon R. Dougrey, CPNP's National Provider Identifier is 1609065093, issued on Oct 22, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 5, 2022.