Provider Demographics
NPI:1528481231
Name:ADELL, SHEKOFEH ZAMANE (FNP-C)
Entity type:Individual
Prefix:
First Name:SHEKOFEH
Middle Name:ZAMANE
Last Name:ADELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2681
Mailing Address - Country:US
Mailing Address - Phone:936-568-3141
Mailing Address - Fax:936-560-3872
Practice Address - Street 1:1225 N MOUND ST
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4028
Practice Address - Country:US
Practice Address - Phone:936-585-4442
Practice Address - Fax:936-715-0041
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX694520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily