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Ms. Shineka Latoya Mack, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Raleigh, North Carolina
NPI 1790370047

Shineka Latoya Mack is a Psychiatric/Mental Health Nurse Practitioner based in Charlotte, NC and is specialized in Psychiatric/Mental Health. Shineka Latoya Mack practices in Raleigh, NC and has the professional credentials of PMHNP. The NPI Number for Shineka Latoya Mack is 1790370047 and holds a License No. 25081 (North Carolina).

The current practice location address for Shineka Latoya Mack is 3000 New Bern Ave, Raleigh, NC and can be reached out via phone at 919-350-7270.

Location: 3000 New Bern Ave, Raleigh, NC, 28260-3949
person
Provider Profile Details
NPI Number
1790370047
Provider Name
Shineka Latoya Mack
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3000 New Bern Ave, Raleigh, NC, 28260-3949
Phone Number
919-350-7270
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790370047 05 NC
institution
Provider Business Practice Location Address Details
Address
3000 New Bern Ave
City
State
Zip
27610-1231
Phone Number
919-350-7270
Fax Number
person
Provider Business Mailing Address Details
Address
3000 New Bern Ave
City
State
Zip
27610-1231
Phone Number
919-350-7270
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
25081 (South Carolina)
Definition
Definition to come...
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