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

MS. SHANTERIKA TATE

Active Sole Proprietor

Nurse's Aide · MOSS POINT, MS

Registration Details

NPI Number: 1770100109
Provider Type: Individual
Gender: Female
NPI Issued: Jul 1, 2020 (5.825845559448 yrs)
Last Updated: Jul 1, 2020
Sole Proprietor: Yes

Practice Information

Address: 5407 MARTIN LUTHER KING BLVD

MOSS POINT, MS, 395634543
Browse MS providers · Browse ZIP 39563
Phone: 2282058303
Primary Specialty: Nurse's Aide
376K00000X
Additional Specialty: Homemaker
Additional Specialty: Nurse's Aide

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.