Shamika Mack, CNP
Nurse Practitioner, Family in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1114394251
StatusActive
Last updated in NPPESAug 3, 2017
Details
- NPI
- 1114394251
- Entity type
- Individual (NPI-1)
- Name
- Shamika Mack
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2015
- Last updated
- Aug 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 85362 | OK | Yes |
Practice location
3330 Nw 56th StSuite 300
Oklahoma City, OK 73112-4479
Phone 405-945-5275 · Fax 405-945-5232
Mailing address
5300 N Independence AveSuite 280
Oklahoma City, OK 73112-5556
Phone 405-945-5275 · Fax 405-945-5232
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All 607 Family Nurse Practitioner providers in Oklahoma City · All 27,799 providers in Oklahoma City
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