Provider Demographics
NPI:1013454248
Name:SCHOPPE, SHAWN BROOK (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:BROOK
Last Name:SCHOPPE
Suffix:
Gender:M
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 1:5814 STERN SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-2049
Mailing Address - Country:US
Mailing Address - Phone:713-298-2661
Mailing Address - Fax:
Practice Address - Street 1:5814 STERN SPRINGS LN
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-2049
Practice Address - Country:US
Practice Address - Phone:713-298-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133085363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily