Individual
CHAVONNE NAKIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1357 WALTER REED RD STE 101, FAYETTEVILLE, NC 28304-4417
(910) 984-8311
Mailing address
537 BELLGROVE DR, HOPE MILLS, NC 28348-2795
(843) 425-4507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017965
NC
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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