Taite, Shaqualyn

Taite, Shaqualyn is an individual health care provider with primary practice located at 4005 N College Ave , Jackson AL 36545-2024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taite, Shaqualyn can be contacted via phone (251) 744-6084.

Contact Information

Primary practice address
4005 N College Ave Jackson AL 36545-2024
Phone: (251) 744-6084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-150563 Alabama

Profile Details

NPI number 1881211019
LBN Legal business name Taite, Shaqualyn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2020
Last updated Mar 21st, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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