Provider Demographics
NPI:1770299679
Name:SELMON, APRILLE LASHUNDA
Entity type:Individual
Prefix:
First Name:APRILLE
Middle Name:LASHUNDA
Last Name:SELMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 E MARTIN LUTHER KING JR BLVD APT 3108
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-1671
Mailing Address - Country:US
Mailing Address - Phone:617-869-8696
Mailing Address - Fax:
Practice Address - Street 1:2906 E MARTIN LUTHER KING JR BLVD APT 3108
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-1671
Practice Address - Country:US
Practice Address - Phone:617-869-8696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0060037362376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide