person
Shakia Leann Nelson, CEO
Clinical Laboratory Director (Non-physician) in Fayetteville, North Carolina
NPI 1063158582

Shakia Leann Nelson is a Clinical Laboratory Director (Non-physician) based in Fayetteville, NC and is specialized in Clinical Laboratory Director, Non-physician. Shakia Leann Nelson practices in Fayetteville, NC and has the professional credentials of CEO. The NPI Number for Shakia Leann Nelson is 1063158582 and holds a License No. (North Carolina).

The current practice location address for Shakia Leann Nelson is 1830 Owen Dr Ste 202-2, Fayetteville, NC and can be reached out via phone at 910-218-0015 and via fax at 910-500-3999.

Location: 1830 Owen Dr Ste 202-2, Fayetteville, NC, 28304-1611
person
Provider Profile Details
NPI Number
1063158582
Provider Name
Shakia Leann Nelson
Credential
CEO
Provider Entity Type
Individual
Gender
Female
Address
1830 Owen Dr Ste 202-2, Fayetteville, NC, 28304-1611
Phone Number
910-218-0015
Fax Number
910-500-3999
Provider Enumeration Date
05/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1830 Owen Dr Ste 202-2
City
State
Zip
28304-1611
Phone Number
910-218-0015
Fax Number
910-500-3999
person
Provider Business Mailing Address Details
Address
1830 Owen Dr Ste 202-2
City
State
Zip
28304-1611
Phone Number
910-218-0015
Fax Number
910-500-3999
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
(North Carolina)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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