Provider Demographics
NPI:1669983482
Name:HAMPSHIRE, SONJA (APRN, PMHNP-BC, CARN)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:HAMPSHIRE
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC, CARN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 E 5TH ST # 889
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-5021
Mailing Address - Country:US
Mailing Address - Phone:281-935-9995
Mailing Address - Fax:680-435-3924
Practice Address - Street 1:2021 GUADALUPE ST
Practice Address - Street 2:STE 260
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:281-935-9995
Practice Address - Fax:680-435-3924
Is Sole Proprietor?:No
Enumeration Date:2017-10-19
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135528363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health