Provider Demographics
NPI:1881267557
Name:WALKER, SHELBY NICOLE (RN, APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:NICOLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:RN, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6529 W PLANO PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8262
Mailing Address - Country:US
Mailing Address - Phone:972-781-1414
Mailing Address - Fax:
Practice Address - Street 1:6529 W PLANO PKWY STE D
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8262
Practice Address - Country:US
Practice Address - Phone:972-781-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1048029363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics