| NPI | 1962969584 |
|---|---|
| Doing Business As | AMY SHUPTRINE, MSN, APRN, FNP-BC |
| Entity Type | Organization |
| Authorized Contact | AMY JO SHUPTRINE Family Nurse Practitioner 903-574-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-05-01 |