NICOLE E SHUTTS FNP-C NPI 1023251535

NPI Information

  • NPI: 1023251535
  • Provider Name: NICOLE E SHUTTS, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 3100 MCKINNON ST
    DALLAS, TX
    ZIP 75201
  • Phone: (866) 377-7595

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NPI Details

Nicole E Shutts, FNP-C is a family nurse practitioner in Dallas, TX. Nicole E Shutts, FNP-C NPI is 1023251535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 MCKINNON ST
DALLAS, TX
ZIP 75201-044
Phone: (866) 377-7595

The enumeration date for this NPI number is 4/14/2009 and was last updated on 9/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2003003739MISSOURINo
2363LF0000XNurse PractitionerFamily793067TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1217376702MEDICAIDTEXAS
2TXB112807MEDICARE PINTEXAS
3217376703MEDICAIDTEXAS
4217376701MEDICAIDTEXAS
5TXB112804MEDICARE PINTEXAS
6TXB112799MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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