Individual provider · Type 1 NPI

Shauntelle Malcolm, RN

Psychiatric/Mental Health Nurse Practitioner · Mattapan, MA

NPI number 1225468804 Active

Practice location

1575 Blue Hill Ave
Mattapan, MA 02126-2122

Fax (617) 296-5408

Other practice locations

  • 780 Albany St, Boston, MA 02118-2524 · (857) 654-1000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2278372 (MA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN2278372 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1225468804

Shauntelle Malcolm, RN's National Provider Identifier is 1225468804, issued on Nov 19, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mattapan, MA. The record was last updated on Aug 25, 2022.