Individual
SHAKETA S WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 BENTON AVE UNIT 315, NASHVILLE, TN 37204-2684
(615) 364-9732
Mailing address
445 BENTON AVE UNIT 315, NASHVILLE, TN 37204-2684
(615) 364-9732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
091581776
TN
251B00000X
Case Management Agency
091851776
TN
347C00000X
Private Vehicle
Primary
091851776
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068991
—
TN
Enumeration date
09/24/2021
Last updated
05/06/2026
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