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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANTWANA TASHUN PATTERSON

Active

SHANTWANA TASHUN PATTERSON is a Family Medicine healthcare provider located in VICKSBURG, Mississippi. NPI 1366391088 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · VICKSBURG, MS

Registration Details

NPI Number
1366391088
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2026 (0.53053406412104 yrs)
Last Updated
Jan 26, 2026
License
915953 (MS)

Practice Information

Address
111 GRANITE WAY
VICKSBURG, MS, 391836952
Browse MS providers · Browse ZIP 39183
Phone
6622991888
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in VICKSBURG, MS

Name Credential NPI
DR. ROBERT C MASTERSON DO 1053358853
DR. SUSAN A CHIARITO MD 1871534008
DR. ROBERT L GIFFIN MD 1376584052
DR. MARKUS B STANLEY DO 1417999301
GEORGE ABRAHAM MD 1184669798
STANLEY R EASTERLING MD 1154359818
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.