Provider Demographics
NPI:1083100648
Name:WEATHERLY, SHELBI LYNN (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHELBI
Middle Name:LYNN
Last Name:WEATHERLY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:803 MASSEY TOMPKINS RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4315
Mailing Address - Country:US
Mailing Address - Phone:281-757-3250
Mailing Address - Fax:
Practice Address - Street 1:803 MASSEY TOMPKINS RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4315
Practice Address - Country:US
Practice Address - Phone:281-757-3250
Practice Address - Fax:713-565-4990
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2021-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP137846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily