SHATARA JEWELL
NPI 1124986112
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, NC

Q: What is Shatara Jewell's NPI number?

The NPI number for Shatara Jewell is 1124986112. It was assigned to this individual provider in the NPPES registry on January 10, 2026.

Q: What is Shatara Jewell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shatara Jewell was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2026

4573 HAWKINS BLVD, JACKSONVILLE, NC 28540(757) 287-1904 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shatara Jewell NPPES

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

SHATARA JEWELL (NPI 1124986112) is an individual psychiatric/mental health provider in Jacksonville, North Carolina, licensed in Florida (APRN11044526) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1124986112

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHATARA JEWELL

Location Address4573 HAWKINS BLVDJacksonville, NC 28540-3852

Mailing Address4573 Hawkins BlvdJacksonville, NC 28540-3852 · (757) 287-1904

Phone(757) 287-1904

Sole ProprietorNo

Enumeration DateJanuary 10, 2026

NPPES CertifiedJanuary 10, 2026

✔ NPI 1124986112 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 FL · APRN11044526

4573 HAWKINS BLVD, Jacksonville, NC 28540

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shatara Jewell's NPI number?

The NPI number for Shatara Jewell is 1124986112. It was assigned to this individual provider in the NPPES registry on January 10, 2026.

Where is Shatara Jewell located?

Shatara Jewell practices at 4573 Hawkins Blvd, Jacksonville, NC 28540. The listed phone number is (757) 287-1904.

What is Shatara Jewell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shatara Jewell was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.