Provider Demographics
NPI:1093433203
Name:YARBROUGH, SHELBY (FNP)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9675 EAGLE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77523-5607
Mailing Address - Country:US
Mailing Address - Phone:832-307-7106
Mailing Address - Fax:
Practice Address - Street 1:9675 EAGLE DR STE 105
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-5607
Practice Address - Country:US
Practice Address - Phone:832-307-7106
Practice Address - Fax:832-307-7146
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily