Individual
SHANIQUE MCKITTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
902 PRESKITT RD STE 200, DECATUR, TX 76234-4121
(940) 626-1848
(940) 626-1849
Mailing address
902 PRESKITT RD STE 200, DECATUR, TX 76234-4121
(940) 626-1848
(940) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1141751
TX
Other
Enumeration date
11/16/2023
Last updated
03/19/2024
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