SHUWANDA NICOLE GATLIN NPI 1831802669

NPI Information

  • NPI: 1831802669
  • Provider Name: SHUWANDA NICOLE GATLIN
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 69 GINNTOWN RD
    TYLERTOWN, MS
    ZIP 39667
  • Phone: (601) 876-8779

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NPI Details

Shuwanda Nicole Gatlin is a driver in Tylertown, MS. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Shuwanda Nicole Gatlin NPI is 1831802669. 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:

69 GINNTOWN RD
TYLERTOWN, MS
ZIP 39667-597
Phone: (601) 876-8779

The enumeration date for this NPI number is 12/26/2022 and was last updated on 12/26/2023.

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
1172A00000XDriverYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1920882044MEDICAIDMISSISSIPPI

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

NPI Synchronization or Removal

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