Individual
SHALITA SHANTA FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1911 COLISEUM DR, FAYETTEVILLE, NC 28306-3060
(910) 486-1399
Mailing address
1911 COLISEUM DR, FAYETTEVILLE, NC 28306-3060
(910) 486-1399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190039
NC
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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