SHEKIVA PETTY
NPI 1043003213
Licensed Practical Nurse in Tupelo, MS

Active since May 28, 2025
2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shekiva Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEKIVA PETTY (NPI 1043003213) is an individual licensed practical nurse in Tupelo, Mississippi, licensed in Mississippi (98543) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1043003213
Entity TypeIndividual
Primary Taxonomy164W00000X
Provider Legal NameSHEKIVA PETTY
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595
Sole ProprietorNo
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
NPI 1043003213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MS · 98543
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2434 S EASON BLVD, Tupelo, MS 38804

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Social Worker (Clinical)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Registered Nurse
2434 S EASON BLVD
TUPELO, MS 38804
Social Worker (Clinical)
2434 S EASON BLVD, REGION III MENTAL HEALTH CENTER
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Psychiatry & Neurology (Psychiatry)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Social Worker
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043003213, enumerated as an "individual" on May 28, 2025.

The provider is located at 2434 S EASON BLVD TUPELO, MS 38804 and the phone number is (662) 640-4595.

Licensed Practical Nurse with taxonomy code 164W00000X.