Provider Demographics
NPI:1265185631
Name:HVEEM, SHELBIE JORDYN (PA-C)
Entity type:Individual
Prefix:
First Name:SHELBIE
Middle Name:JORDYN
Last Name:HVEEM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W GREENHILL TERRACE PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1612
Mailing Address - Country:US
Mailing Address - Phone:806-662-6762
Mailing Address - Fax:
Practice Address - Street 1:827 MAGNOLIA BLVD STE 6
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355-8553
Practice Address - Country:US
Practice Address - Phone:281-259-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA15289363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA15289OtherTEXAS MEDICAL BOARD