NPI 1043003213

Shekiva Petty

Practitioner Licensed Practical Nurse Tupelo, MS

Practice location

Address: 2434 S Eason Blvd, Tupelo, MS 38804-6942
Phone: (662) 640-4595

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 98543 (MS)

Other Licensed Practical Nurse providers in Mississippi →

Registry record

NPI: 1043003213
Entity type: Individual
Sex (as registered): X
NPI issued: 28 May 2025
Record last updated: 28 May 2025

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.