Cooper, Shelbi Dawn

Cooper, Shelbi Dawn is an individual health care provider with primary practice located at 719 W Coke Rd , Winnsboro TX 75494-3011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cooper, Shelbi Dawn can be contacted via phone (903) 342-3781.

Contact Information

Primary practice address
719 W Coke Rd Winnsboro TX 75494-3011
Phone: (903) 342-3781
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 698233 Texas

Profile Details

NPI number 1437359601
LBN Legal business name Cooper, Shelbi Dawn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Jul 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437359601 NPPES
Texas MEDICAID 200436801
Texas Other 811N02
Texas Other TIN PLUS 020
Texas Other 895N69
Texas Other 752771569005

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