SHATARA JEWELL NPI 1124986112

NPI Information

  • NPI: 1124986112
  • Provider Name: SHATARA JEWELL
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4573 HAWKINS BLVD
    JACKSONVILLE, NC
    ZIP 28540
  • Phone: (757) 287-1904

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NPI Details

Shatara Jewell is a psychiatric/mental health nurse practitioner in Jacksonville, NC. Shatara Jewell NPI is 1124986112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4573 HAWKINS BLVD
JACKSONVILLE, NC
ZIP 28540-852
Phone: (757) 287-1904

The enumeration date for this NPI number is 1/10/2026 and was last updated on 1/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11044526FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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