| Ms Sommer Kolander Shackelford, DNP, APRN, FNP-C | |
|
8155 Gladys Ave Ste 102, Beaumont, TX 77706-3244 | |
| (409) 673-1796 | |
| (409) 247-2178 |
| Full Name | Ms Sommer Kolander Shackelford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8155 Gladys Ave Ste 102, Beaumont, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952566838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP116822 (Texas) | Primary |
| Entity Name | Sour Lake Health & Medical, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346511433 PECOS PAC ID: 0042473381 Enrollment ID: O20120523000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sommer Kolander Shackelford, DNP, APRN, FNP-C 8155 Gladys Ave Ste 102, Beaumont, TX 77706-3244 Ph: (409) 673-1796 | Ms Sommer Kolander Shackelford, DNP, APRN, FNP-C 8155 Gladys Ave Ste 102, Beaumont, TX 77706-3244 Ph: (409) 673-1796 |
Ruth Ngindu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 Dowlen Rd, Beaumont, TX 77706 Phone: 866-389-2727 | |
Mrs. Monique Nichole Vannoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Hospital Dr Ste 200, Beaumont, TX 77701 Phone: 409-212-5825 | |
Charlotte Stevens Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-236-7171 | |
Dawn Roque, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4347 Phelan Blvd, Beaumont, TX 77707 Phone: 409-767-9285 | |
Mrs. Carley Ann Jaynes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3950, Beaumont, TX 77702 Phone: 409-892-0099 | |
Ms. Lynda Marie Few, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St # 601, Beaumont, TX 77706 Phone: 409-924-9666 | |
Jacqueline Nacole Dugas, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 740 Hospital Dr, Suite 300, Beaumont, TX 77701 Phone: 409-212-8111 |