Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHAUNTELLE MALCOLM, RN
Active Sole ProprietorMS. SHAUNTELLE MALCOLM, RN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MATTAPAN, Massachusetts. NPI 1225468804 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MATTAPAN, MA
Registration Details
- NPI Number
- 1225468804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2013 (12.717454513649 yrs)
- Last Updated
- Aug 25, 2022
- Licenses
-
RN2278372 (MA)RN2278372 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1575 BLUE HILL AVEMATTAPAN, MA, 021262122Browse MA providers · Browse ZIP 02126
- Phone
- 6172960061
- Fax
- 6172965408
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MATTAPAN, MA
| Name | Credential | NPI |
|---|---|---|
| RUTH A. RACZKOWSKI | N.P. | 1770512956 |
| STEPHENIE C JACKSON | PMHNP | 1427722917 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.