Provider Demographics
NPI:1982111514
Name:TURBYFILL, SHANA MICHELLE
Entity type:Individual
Prefix:
First Name:SHANA
Middle Name:MICHELLE
Last Name:TURBYFILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E LENNON DR
Mailing Address - Street 2:
Mailing Address - City:EMORY
Mailing Address - State:TX
Mailing Address - Zip Code:75440-3227
Mailing Address - Country:US
Mailing Address - Phone:903-473-7234
Mailing Address - Fax:903-473-8096
Practice Address - Street 1:650 E LENNON DR
Practice Address - Street 2:
Practice Address - City:EMORY
Practice Address - State:TX
Practice Address - Zip Code:75440-3227
Practice Address - Country:US
Practice Address - Phone:903-473-7234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily