Provider Demographics
NPI:1184085714
Name:HART, SHILLOY CHRISTINE (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHILLOY
Middle Name:CHRISTINE
Last Name:HART
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13737 NOEL RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-1374
Mailing Address - Country:US
Mailing Address - Phone:214-217-1991
Mailing Address - Fax:
Practice Address - Street 1:3051 S CENTER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2023
Practice Address - Country:US
Practice Address - Phone:817-468-1818
Practice Address - Fax:817-468-4775
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily