Provider Demographics
NPI:1841082120
Name:VITALITY NP SERVICES PLLC
Entity type:Organization
Organization Name:VITALITY NP SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP-C
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:409-658-8299
Mailing Address - Street 1:115 LAURIE LN
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-8936
Mailing Address - Country:US
Mailing Address - Phone:409-658-8299
Mailing Address - Fax:
Practice Address - Street 1:711 HIGHWAY 327 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-5005
Practice Address - Country:US
Practice Address - Phone:409-658-8299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty