SHAKIRA LEAKE PMHNP-BC
NPI 1003666199
Nurse Practitioner - Psychiatric/Mental Health in Spartanburg, SC
Active since March 25, 2024
About Shakira Leake Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAKIRA LEAKE PMHNP-BC (NPI 1003666199) is an individual psychiatric/mental health provider in Spartanburg, South Carolina, licensed in South Carolina (28569) and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1003666199
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAKIRA LEAKECredential: PMHNP-BC
Location Address250 DEWEY AVESpartanburg, SC 29303-3009
Mailing Address176 Longview RdCross Hill, SC 29332-3124 · (864) 547-4600
Phone(864) 585-0366
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1003666199 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 28569
250 DEWEY AVE, Spartanburg, SC 29303
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
250 DEWEY AVE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Psychiatry & Neurology (Psychiatry)
250 DEWEY AVE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Psychiatry & Neurology (Psychiatry)
250 DEWEY AVE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003666199, enumerated as an "individual" on March 25, 2024.
The provider is located at 250 DEWEY AVE SPARTANBURG, SC 29303 and the phone number is (864) 585-0366.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
