Dougrey, Shannon R

Dougrey, Shannon R is an individual health care provider with primary practice located at 1401 W Pulaski St , Fort Worth TX 76104-2717. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Dougrey, Shannon R can be contacted via phone (682) 885-8012.

Contact Information

Primary practice address
1401 W Pulaski St Fort Worth TX 76104-2717
Phone: (682) 885-8012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP116321 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP116321 Texas

Profile Details

NPI number 1609065093
LBN Legal business name Dougrey, Shannon R
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 5th, 2022 - about 2 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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