Individual
MS. SHIBA LASHON NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
NEW OAKLAND, 6549 TOWN CENTER SUITE A, CLARKSTON, MI 48346
(248) 620-6400
(248) 620-6405
Mailing address
29781 SPRING HILL DR, SOUTHFIELD, MI 48076-1859
(313) 550-9605
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704264372
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704264372
MI
Other
Enumeration date
11/08/2018
Last updated
12/05/2018
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