Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanna Suzanne Odonnell, FNP

Individual provider Family Nurse Practitioner · NPI 1609887439

Shanna Suzanne Odonnell, FNP is a Nurse Practitioner in Port Lavaca, Texas. Qualified in 2006, 20 years ago. Practices with Memorial Medical Center, a 13-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1016 N Virginia St
Port Lavaca, TX 77979-3000
Phone: (361) 552-0325
Fax: (361) 500-6904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP114865 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 686322 (TX)

Record details

NPI number1609887439
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Memorial Medical Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Lavaca