Provider Demographics
NPI:1538680822
Name:WILLIAMS, SHELLY CHRISTINA (FNP-BC)
Entity type:Individual
Prefix:
First Name:SHELLY
Middle Name:CHRISTINA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 FLEWELLEN OAKS LN STE 302
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1801
Mailing Address - Country:US
Mailing Address - Phone:713-987-7828
Mailing Address - Fax:713-804-9449
Practice Address - Street 1:5757 FLEWELLEN OAKS LN STE 302
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1801
Practice Address - Country:US
Practice Address - Phone:713-987-7828
Practice Address - Fax:713-804-9449
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138281363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP61561016OtherWASHINGTON STATE LICENSE
LAAP09322OtherLOUISIANA STATE BOARD OF NURSING
TXAP138281OtherTEXAS LICENSE