Individual provider · Type 1 NPI
Shaqualyn Taite, CRNP
Family Nurse Practitioner · Jackson, AL
NPI number
1881211019
Active
Practice location
4005 N College Ave
Jackson, AL 36545-2024
Mailing address
PO Box 306491
Nashville, TN 37230-6491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-150563 (AL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Jackson
About NPI 1881211019
Shaqualyn Taite, CRNP's National Provider Identifier is 1881211019, issued on Jul 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, AL. The record was last updated on Mar 21, 2024.