Provider Demographics
NPI:1619853579
Name:MCGRIFF, SHEDARRYLLE LYNETTE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:SHEDARRYLLE
Middle Name:LYNETTE
Last Name:MCGRIFF
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 SWANSEE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-1422
Mailing Address - Country:US
Mailing Address - Phone:214-541-5873
Mailing Address - Fax:
Practice Address - Street 1:2220 SWANSEE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1422
Practice Address - Country:US
Practice Address - Phone:214-541-5873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1208062363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health