Provider Demographics
NPI:1700980158
Name:BARNETT, SHANNON LUBBERS (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:LUBBERS
Last Name:BARNETT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 W WHEATLAND RD STE 440
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-4417
Mailing Address - Country:US
Mailing Address - Phone:972-298-4300
Mailing Address - Fax:972-298-8903
Practice Address - Street 1:3450 W WHEATLAND RD STE 440
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-4417
Practice Address - Country:US
Practice Address - Phone:972-298-4300
Practice Address - Fax:972-298-8903
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX652054363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health