Individual
MS. SHALANDRIA TAVISE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
165 TURNBERRY WAY, PINEHURST, NC 28374
(910) 725-1708
(910) 725-1718
Mailing address
165 TURNBERRY WAY, PINEHURST, NC 28374
(910) 725-1708
(910) 725-1718
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
172925
NC
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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