Provider Demographics
NPI:1760475735
Name:SHEFFEL, JOHN EDWARD (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:EDWARD
Last Name:SHEFFEL
Suffix:
Gender:M
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4804 N NAVARRO ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-2079
Mailing Address - Country:US
Mailing Address - Phone:361-576-0330
Mailing Address - Fax:361-576-0556
Practice Address - Street 1:4804 N NAVARRO ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2079
Practice Address - Country:US
Practice Address - Phone:361-576-0330
Practice Address - Fax:361-576-0556
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666326363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F24206Medicare PIN