NPI 1003666199

Shakira Leake, PMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner Spartanburg, SC

Practice location

Address: 250 Dewey Ave, Spartanburg, SC 29303-3009
Phone: (864) 585-0366
Mailing address: 176 Longview Rd, Cross Hill, SC 29332-3124

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 28569 (SC)

Other Nurse Practitioner providers in South Carolina →

Registry record

NPI: 1003666199
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2024
Record last updated: 30 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.