Shakita Diane Rawls, NURSE PRACTITIONER
NPI #1275043127 in Tylertown, Mississippi
Provider Information
- NPI Number
- 1275043127
- Entity Type
- Individual
- Name
- Shakita Diane Rawls, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Oct 5, 2017
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 155 HOSPITAL DR
- City
- Tylertown
- State
- Mississippi
- ZIP Code
- 39667-2021
- Phone
- (601) 876-5337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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