Shawnique Giavonna Patterson
Individual provider Active NPI Nurse's Aide · Pinebluff, NC
NPI 1992444715 · NPPES record last updated Mar 13, 2023
Key facts
- NPI
- 1992444715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 514795 (NC)
- Practice address
- 620 W Craven Ave
Pinebluff, NC 28373-8224 - Phone
- (910) 722-6659
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 514795 | NC | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 514795 | NC | Yes |
Addresses
Primary practice location
620 W Craven Ave
Pinebluff, NC 28373-8224
Mailing address
620 W Craven Ave
Pinebluff, NC 28373-8224
Phone (910) 722-6659
Other providers in Pinebluff, NC
- Achieve Health Therapy Services, LLC
- Lori Ann Bass
- Childrens Treatment Center Inc
- Jerelyn Susan Denkins
- Amanda Jorinscay
- The Mental Health Association in North Carolina, Inc
- The Mental Health Association in North Carolina, Inc.
- Therapeutic Alternatives, Inc.
- Unique Health Solutions Inc
All providers in Pinebluff, NC · Nurse's Aide in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.