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NPI Code Detail

MEDICARE: SHELLY JEAN COX ACNP

MEDICARE:   SHELLY JEAN COX  ACNP
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
1363LA2100XAcute Care Nurse PractitionerAP124233TX
2363LA2100XAcute Care Nurse Practitioner675521TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740617224
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY JEAN COX ACNP
Provider Business Mailing Address
First Line : 2825 NASA PKWY
Second Line :
City : SEABROOK
State : TX
Zip : 77586-3215
Country : US
Telephone Number : 281-532-3160
Fax Number :
Provider Business Practice Location Address
First Line : 2825 NASA PKWY
Second Line :
City : SEABROOK
State : TX
Zip : 77586-3215
Country : US
Telephone Number : 281-532-3160
Fax Number : 281-532-3480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2013
Last Update Date : 07/27/2022

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Directions to “ SHELLY JEAN COX ACNP” Practice Location

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