Provider Demographics
NPI:1760475735
Name:SHEFFEL, JOHN EDWARD (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:EDWARD
Last Name:SHEFFEL
Suffix:
Gender:M
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MEDICAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3105
Mailing Address - Country:US
Mailing Address - Phone:361-355-8202
Mailing Address - Fax:361-355-8204
Practice Address - Street 1:115 MEDICAL DR STE 101
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3105
Practice Address - Country:US
Practice Address - Phone:361-355-8202
Practice Address - Fax:361-355-8204
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666326171400000X, 202D00000X, 207QA0000X, 207QB0002X, 2083B0002X, 363LF0000X, 363LP2300X, 208D00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No171400000XOther Service ProvidersHealth & Wellness Coach
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F24206Medicare PIN