Provider Demographics
NPI:1750760104
Name:ADAMS, SHAUN JOSEPH (FNP)
Entity type:Individual
Prefix:
First Name:SHAUN
Middle Name:JOSEPH
Last Name:ADAMS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 W SESAME DR STE B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8366
Mailing Address - Country:US
Mailing Address - Phone:956-622-3157
Mailing Address - Fax:956-622-3409
Practice Address - Street 1:1713 TREASURE HILLS BLVD STE 2D
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8913
Practice Address - Country:US
Practice Address - Phone:956-425-4982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily