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NPI Code Detail

MEDICARE: MISS SHABNAM SHAWN SEPASSI NP-C

MEDICARE: MISS SHABNAM SHAWN SEPASSI NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP140373TX

General Provider Information

NPI Number : 1285198846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHABNAM SHAWN SEPASSI NP-C
Provider Business Mailing Address
First Line : 20635 KUYKENDAHL RD
Second Line :
City : SPRING
State : TX
Zip : 77379-3533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20635 KUYKENDAHL RD
Second Line :
City : SPRING
State : TX
Zip : 77379-3533
Country : US
Telephone Number : 832-844-3746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 12/22/2025

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Directions to “ MISS SHABNAM SHAWN SEPASSI NP-C” Practice Location

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