MEDICARE: MS. SHANIA WILLIAMSON MCBRIDE 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
1	363LF0000X	Family Nurse Practitioner	AP133184	TX

General Provider Information

NPI Number	:	1790223279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHANIA WILLIAMSON MCBRIDE FNP-C

Provider Business Mailing Address
First Line	:	2001 N JEFFERSON AVE
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2338
Country	:	US
Telephone Number	:	903-577-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 N JEFFERSON AVE STE 202A
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2309
Country	:	US
Telephone Number	:	903-434-8073
Fax Number	:	903-434-8076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2017
Last Update Date	:	11/11/2025

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