Shellnutt, Mary C

Shellnutt, Mary C is an individual health care provider with primary practice located at 501 Saunders Ave Ste 320 , Tyler TX 75702-7524. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Shellnutt, Mary C can be contacted via phone (903) 606-5140.

Contact Information

Primary practice address
501 Saunders Ave Ste 320 Tyler TX 75702-7524
Phone: (903) 606-5140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X AP128617 Texas
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X AP128617 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X AP128617 Texas

Profile Details

NPI number 1811366552
LBN Legal business name Shellnutt, Mary C
Credentials APRN, AGCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Mar 12th, 2024 - about last year

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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