Individual provider · Type 1 NPI

Shamika Mack, CNP

Family Nurse Practitioner · Oklahoma City, OK

NPI number 1114394251 Active

Practice location

3330 NW 56th St, Suite 300
Oklahoma City, OK 73112-4479

Fax (405) 945-5232

Mailing address

5300 N Independence Ave, Suite 280
Oklahoma City, OK 73112-5556

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X85362 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1114394251

Shamika Mack, CNP's National Provider Identifier is 1114394251, issued on Aug 24, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 3, 2017.