Shaquita Antonette Starks NP

NPI 1447425053 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1447425053
Gender Female
Enumeration Date 04/24/2008
Last Updated 07/25/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1863 UNION AVE
MEMPHIS TN, 38104-4028, US
Phone (901) 272-2726
Fax (901) 272-2842
Business Location
4625 SUMMER AVE
MEMPHIS TN, 38122-4137, US
Phone (901) 685-3173
Fax (901) 685-3173
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number A810588
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According to our database, Shaquita Antonette Starks NP NPI is 1447425053, taxonomy code is 363LF0000X and license number is A810588, license state is located at Mississippi. Shaquita Antonette Starks NP physically located at 1863 Union Ave, Memphis TN, 38104-4028. NPI Number Shaquita Antonette Starks NP has the Individual type.

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1447425053 NPI number is provided on an as is basis without warranty of any kind. 1447425053 is maintained by the National Plan & Provider Enumeration System. The contents of Shaquita Antonette Starks NP are for informational purposes only.