Individual
SHATARA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4573 HAWKINS BLVD, JACKSONVILLE, NC 28540-3852
(757) 287-1904
Mailing address
4573 HAWKINS BLVD, JACKSONVILLE, NC 28540-3852
(757) 287-1904
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11044526
FL
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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