Individual
MS. NYKICHIA SHAMON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
300 MEDICAL PAVILION DR STE 250, RAEFORD, NC 28376-0018
(910) 904-8035
(910) 615-9752
Mailing address
1341 WALTER REED RD, FAYETTEVILLE, NC 28304-4415
(910) 615-3500
(910) 615-3560
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5019848
NC
Other
Enumeration date
05/08/2024
Last updated
05/12/2026
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