Individual provider · Type 1 NPI

Jessica Shantz, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Warren, MI

NPI number 1790255248 Active

Practice location

8150 Old 13 Mile Rd
Warren, MI 48093-8700

Fax (248) 620-6405

Mailing address

6549 Town Center Dr
Clarkston, MI 48346-4824

Other practice locations

  • 28800 Ryan Rd Ste 320, Warren, MI 48092-4272 · (586) 582-0500

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704267746 (MI)
Nurse Practitioner 363L00000X4704267746 (MI)

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

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About NPI 1790255248

Jessica Shantz, PMHNP-BC's National Provider Identifier is 1790255248, issued on Nov 27, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Warren, MI. The record was last updated on Aug 30, 2024.