Individual
SHANELL LOVETTE WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3019 FALSTAFF ROAD, RALEIGH, NC 27610-3496
(919) 250-7000
Mailing address
1620 EXTINE LN, RALEIGH, NC 27610-3496
(919) 744-9864
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019636
NC
Other
Enumeration date
09/03/2017
Last updated
06/02/2024
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