Individual
SHAQUITA STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1123 CLAIREMONT AVE, DECATUR, GA 30030-1207
(404) 738-7542
(678) 737-1486
Mailing address
1123 CLAIREMONT AVE, DECATUR, GA 30030-1207
(404) 738-7542
(678) 737-1486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13364
TN
363LF0000X
Family Nurse Practitioner
A810588
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
166901
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC006500
MD
Other
Enumeration date
04/24/2008
Last updated
07/23/2024
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