MRS. SHELLY ANN KEOUGH APRN-CNP FNP-C NPI 1306514708

NPI Information

NPI: 1306514708
Provider Name: MRS. SHELLY ANN KEOUGH, APRN-CNP, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
Address: 503 W MAIN ST
WAXAHACHIE, TX
ZIP 75165
Phone: (972) 937-5252

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NPI Details

MRS. Shelly Ann Keough, APRN-CNP, FNP-C is a family nurse practitioner in Waxahachie, TX. MRS. Shelly Ann Keough, APRN-CNP, FNP-C NPI is 1306514708. 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:

503 W MAIN ST
WAXAHACHIE, TX
ZIP 75165-235
Phone: (972) 937-5252

The enumeration date for this NPI number is 8/31/2021 and was last updated on 8/31/2021.

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
1	363LF0000X	Nurse Practitioner	Family	1049146	TEXAS	Yes

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
1	1049146	OTHER	TEXAS	APRN LICENSE NUMBER

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

NPI Synchronization or Removal

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