Individual provider · Type 1 NPI

Nichol Shabazz, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Paterson, NJ

NPI number 1750138699 Active

Practice location

470 Chamberlain Ave Ste 11
Paterson, NJ 07522-1000

Mailing address

PO Box 1072
Fair Lawn, NJ 07410-8072

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ15611300 (NJ)

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

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About NPI 1750138699

Nichol Shabazz, PMHNP-BC's National Provider Identifier is 1750138699, issued on Apr 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Paterson, NJ. The record was last updated on Aug 12, 2026.