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1710543939
SHANNON MICHELLE JETTON
SAN MARCOS, TX
NPI
1710543939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141202)
Enumeration Date
2019-05-13
Last Update Date
2023-11-15
Business Address
SHANNON MICHELLE JETTON FNP-C
1305 WONDER WORLD DR STE 101
SAN MARCOS, TX 78666-7502
Phone number: 512-353-6430
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Mailing Address
SHANNON MICHELLE JETTON FNP-C
5224 75TH ST STE D
LUBBOCK, TX 79424-2525
Phone number: 806-712-1096
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