Individual provider · Type 1 NPI

Nicole Shackelford, RN

Home Health Registered Nurse · Tacoma, WA

NPI number 1164201414 Active

Practice location

1313 Broadway
Tacoma, WA 98402-3400

Mailing address

4019 Elwood Dr W
University Place, WA 98466-1525

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200XRN61245224 (WA)

Home Health Registered Nurse: Definition to come...

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About NPI 1164201414

Nicole Shackelford, RN's National Provider Identifier is 1164201414, issued on Sep 26, 2023. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Tacoma, WA. The record was last updated on Jul 10, 2025.