Mrs. Shannon Blackstock, RN, CPNP
Mrs. Shannon Blackstock, RN, CPNP is a Pediatric Nurse Practitioner in Austin, Texas. Licensed in Texas. Registered with an NPI since 2011.
- Licensed in
- TX
- In the registry since
- 2011
What do these letters mean?
Practice location Address checks out
1301 Barbara Jordan Blvd Ste 200Austin, TX 78723-3077
Phone: (512) 628-1850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 731190 (TX) |
|---|
Record details
| NPI number | 1174801138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , CPNP |
| Sole proprietor | No |
| NPI enumerated | July 25, 2011 |
| Last updated in NPPES | February 29, 2012 |
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