Individual provider · Type 1 NPI
Shadara King, AGNP-C
Nurse Practitioner · Raleigh, NC
Practice location
3214 Charles B Root Wynd Ste 203
Raleigh, NC 27612-5440
Fax (844) 881-7701
Mailing address
185 Timber Wolf Xing
Garner, NC 27529-9279
Other practice locations
- 6000 Poplar Ave Ste 250, Memphis, TN 38119-3974 · (901) 625-5408
- 3508 Market St Ste 213, Philadelphia, PA 19104-3320 · (267) 754-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | LP-0010645 (DE) |
| Nurse Practitioner | 363L00000X | 33592 (TN) |
| Nurse Practitioner | 363L00000X | 27576 (SC) |
| Nurse Practitioner | 363L00000X | 3-001270 (AL) |
| Adult Health Nurse Practitioner | 363LA2200X | 5011293 (NC) |
| Adult Health Nurse Practitioner | 363LA2200X | AG03180040 (GA) |
| Nurse Practitioner Primary | 363L00000X | 5011293 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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- Gregory Thomas Anderson, NP-CNurse Practitioner Raleigh, NC NPI 1033487806
About NPI 1093286015
Shadara King, AGNP-C's National Provider Identifier is 1093286015, issued on Dec 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 7, 2023.