SHADEKRA STASHER NPI 1518883636

NPI Information

  • NPI: 1518883636
  • Provider Name: SHADEKRA STASHER
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 168 HARVEY CIR
    CANTON, MS
    ZIP 39046
  • Phone: (601) 718-2468

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NPI Details

Shadekra Stasher is a licensed practical nurse in Canton, MS. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Shadekra Stasher NPI is 1518883636. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

168 HARVEY CIR
CANTON, MS
ZIP 39046-560
Phone: (601) 718-2468

The enumeration date for this NPI number is 6/24/2026 and was last updated on 6/24/2026.

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
1164W00000XLicensed Practical Nurse341595MISSISSIPPIYes

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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