Individual provider · Type 1 NPI

Shanique Powell, FNP-BC

Nurse Practitioner · San Antonio, TX

NPI number 1730812280 Active

Practice location

5514 Lone Star Pkwy Ste 103
San Antonio, TX 78253-6770

Fax (210) 688-9429

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1069027 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730812280

Shanique Powell, FNP-BC's National Provider Identifier is 1730812280, issued on Jul 1, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 25, 2025.