Provider Demographics
NPI:1740550300
Name:BARRON, SHAWNE THERESEA (RN, MSN, PCNS-BC)
Entity type:Individual
Prefix:
First Name:SHAWNE
Middle Name:THERESEA
Last Name:BARRON
Suffix:
Gender:F
Credentials:RN, MSN, PCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9580
Mailing Address - Country:US
Mailing Address - Phone:469-515-7222
Mailing Address - Fax:
Practice Address - Street 1:5700 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9580
Practice Address - Country:US
Practice Address - Phone:469-515-7100
Practice Address - Fax:214-443-7309
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX644849364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics