SHANNON BLACKSTOCK

AUSTIN, TX
NPI1174801138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  731190)
Enumeration Date2011-07-25
Last Update Date2012-02-29
Business Address
Mrs. SHANNON BLACKSTOCK RN, CPNP
1301 BARBARA JORDAN BLVD SUITE 200
AUSTIN, TX 78723-3077
Phone number: 512-628-1850
Mailing Address
Mrs. SHANNON BLACKSTOCK RN, CPNP
1301 BARBARA JORDAN BLVD SUITE 200
AUSTIN, TX 78723-3077
Phone number:
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