Provider Demographics
NPI:1982200812
Name:LINSCOMB, SHAYNA MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:MARIE
Last Name:LINSCOMB
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6181 SARATOGA BLVD
Mailing Address - Street 2:UNIT 117
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2475
Mailing Address - Country:US
Mailing Address - Phone:361-444-5148
Mailing Address - Fax:361-444-5499
Practice Address - Street 1:9001 LEOPARD ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78409-2502
Practice Address - Country:US
Practice Address - Phone:361-241-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1021014363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care