Provider Demographics
NPI:1881132595
Name:JOHN, SHEEBA KAMALINI (RN, MSN, ANP)
Entity type:Individual
Prefix:
First Name:SHEEBA KAMALINI
Middle Name:
Last Name:JOHN
Suffix:
Gender:F
Credentials:RN, MSN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 BERRY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0164
Mailing Address - Country:US
Mailing Address - Phone:732-277-7262
Mailing Address - Fax:
Practice Address - Street 1:4510 BERRY RIDGE LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0164
Practice Address - Country:US
Practice Address - Phone:732-277-7262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132340363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health