Doctor Name: | SHAKEERAH MONIQUE LOCKHART |
NPI Number: | 1053749689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-BC, CEN |
License Number: | 26NJ00422000 |
Business Practice Address: | 387 Pompton Ave Cedar Grove, NJ - 070091801 |
Business Phone Number: | 2014911849 |
Business Fax Number: | |
Mailing Address: | 539 Totowa Ave, Apt F PATERSON |
State: | NJ |
Postal Code: | 075221585 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/16/2013 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00422000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |