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Shadreka Shaw
Psychiatric/Mental Health Nurse Practitioner in Tallahassee, Florida
NPI 1487383568

Shadreka Shaw is a Psychiatric/Mental Health Nurse Practitioner based in Quincy, FL and is specialized in Psychiatric/Mental Health. Shadreka Shaw practices in Tallahassee, FL. The NPI Number for Shadreka Shaw is 1487383568 and holds a License No. 11020055 (Florida).

The current practice location address for Shadreka Shaw is 1820 Miccosukee Commons Dr, Tallahassee, FL and can be reached out via phone at 850-765-8120.

Location: 1820 Miccosukee Commons Dr, Tallahassee, FL, 32351-4027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487383568
Provider Name
Shadreka Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
1820 Miccosukee Commons Dr, Tallahassee, FL, 32351-4027
Phone Number
850-765-8120
Fax Number
Provider Enumeration Date
06/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1820 Miccosukee Commons Dr
City
Tallahassee
State
Florida
Zip
32308-5432
Phone Number
850-765-8120
Fax Number
person
Provider Business Mailing Address Details
Address
1820 Miccosukee Commons Dr
City
Tallahassee
State
Florida
Zip
32308-5432
Phone Number
850-765-8120
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
11020055 (Florida)
Definition
Definition to come...
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