Provider Demographics
NPI:1225664097
Name:HILLHOUSE, SHAWN (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:HILLHOUSE
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6804
Mailing Address - Country:US
Mailing Address - Phone:405-516-0276
Mailing Address - Fax:
Practice Address - Street 1:950 T L TOWNSEND DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4905
Practice Address - Country:US
Practice Address - Phone:972-204-7108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily