Healthcare Provider Details

I. General information

NPI: 1922563493
Provider Name (Legal Business Name): SHANNON FRANCES GRIFFIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHANNON FRANCES ROOF

II. Dates (important events)

Enumeration Date: 02/08/2019
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S LOOP 336 W STE 600
CONROE TX
77304-0117
US

IV. Provider business mailing address

25214 BOROUGH PARK DR
THE WOODLANDS TX
77380
US

V. Phone/Fax

Practice location:
  • Phone: 726-203-4533
  • Fax:
Mailing address:
  • Phone: 803-210-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1115123
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: