Individual
SHAMILLE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1001 EMANUEL CLEAVER II BLVD, KANSAS CITY, MO 64110-1687
(816) 756-2277
Mailing address
1001 EMANUEL CLEAVER II BLVD, KANSAS CITY, MO 64110-1687
(816) 756-2277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024012235
MO
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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