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NPI Code Detail

MEDICARE: SHANA JOAN STANLEY FNP-C

MEDICARE: SHANA JOAN STANLEY FNP-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
1363L00000XNurse Practitioner1141085TX

General Provider Information

NPI Number : 1609657378
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA JOAN STANLEY FNP-C
Provider Business Mailing Address
First Line : PO BOX 47154
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78265-7154
Country : US
Telephone Number : 254-237-5856
Fax Number :
Provider Business Practice Location Address
First Line : 401 E MILAM ST
Second Line :
City : MEXIA
State : TX
Zip : 76667-2329
Country : US
Telephone Number : 254-562-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2023
Last Update Date : 11/14/2023

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Directions to “ SHANA JOAN STANLEY FNP-C” Practice Location

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