Bearden, Shannon Rene
Bearden, Shannon Rene is an sole proprietor health care provider with primary practice located at 2604 Saint Michael Dr Ste 238 , Texarkana TX 75503-2378. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bearden, Shannon Rene can be contacted via phone (903) 794-8820.Contact Information
Primary practice address
2604 Saint Michael Dr Ste 238
Texarkana TX 75503-2378
Phone: (903) 794-8820
Fax: (903) 794-8878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP137261 | Texas |
Profile Details
| NPI number | 1134616436 |
|---|---|
| LBN Legal business name | Bearden, Shannon Rene |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2018 |
| Last updated | Aug 7th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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