Shakia Amani Nicholson, NP

Nurse Practitioner · Clinton, MD

Individual Active NPI

NPI number 1497413587

Practice location

7501 Surratts Rd Ste 308
Clinton, MD 20735-3377
Phone
(301) 877-7200

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NPI record

NPI
1497413587
Entity type
Individual (Type 1)
Enumeration date
December 6, 2021
Last updated
June 17, 2024
Certified
June 17, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X NP20000532 DC
Nurse Practitioner 363L00000X 0024182878 VA

Mailing address

22 Bagley St
Portsmouth, VA 23704-6105
Phone
(757) 633-8873

About Shakia Nicholson

Shakia Amani Nicholson, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 7501 Surratts Rd Ste 308, Clinton, MD 20735-3377. The NPI number 1497413587 was assigned on December 6, 2021 and the record was last updated on June 17, 2024.

Shakia Nicholson lists 2 licenses in the registry: #NP20000532 (DC) for Nurse Practitioner; #0024182878 (VA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shakia Amani Nicholson, NP?

The NPI number is 1497413587.

What is the phone number of Shakia Nicholson?

The phone number listed for the practice location is (301) 877-7200.

Where is Shakia Nicholson located?

7501 Surratts Rd Ste 308, Clinton, MD 20735-3377.

What is the taxonomy code for Shakia Nicholson?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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