Healthcare Provider Details

I. General information

NPI: 1982200812
Provider Name (Legal Business Name): SHAYNA MARIE LINSCOMB FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 LEOPARD ST
CORPUS CHRISTI TX
78409-2502
US

IV. Provider business mailing address

6181 SARATOGA BLVD UNIT 117
CORPUS CHRISTI TX
78414-2475
US

V. Phone/Fax

Practice location:
  • Phone: 361-241-5000
  • Fax:
Mailing address:
  • Phone: 361-444-5148
  • Fax: 361-444-5499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1021014
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: