Provider Demographics
NPI:1588470272
Name:REED-POUNCY, SHELLEY RENEE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:RENEE
Last Name:REED-POUNCY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 STARK ST STE D
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-6562
Mailing Address - Country:US
Mailing Address - Phone:817-451-6413
Mailing Address - Fax:
Practice Address - Street 1:2817 STARK ST STE D
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-6562
Practice Address - Country:US
Practice Address - Phone:817-451-6413
Practice Address - Fax:817-451-6414
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX893682163WA2000X, 163WH0200X
TX1181013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty