Individual provider · Type 1 NPI

Shakia Amani Nicholson, NP

Nurse Practitioner · Clinton, MD

NPI number 1497413587 Active

Practice location

7501 Surratts Rd Ste 308
Clinton, MD 20735-3377

Mailing address

22 Bagley St
Portsmouth, VA 23704-6105

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0024182878 (VA)
Nurse Practitioner Primary 363L00000XNP20000532 (DC)

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…

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About NPI 1497413587

Shakia Amani Nicholson, NP's National Provider Identifier is 1497413587, issued on Dec 6, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clinton, MD. The record was last updated on Jun 17, 2024.