| Doctor Name: | NEKISHA LYNN SHAHAN |
| NPI Number: | 1295135929 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 28217521A |
| Business Practice Address: | 4792 W Fall Creek Rd Crawfordsville, IN - 479339320 |
| Business Phone Number: | 7652251685 |
| Business Fax Number: | |
| Mailing Address: | 4792 W Fall Creek Rd, CRAWFORDSVILLE |
| State: | IN |
| Postal Code: | 479339320 |
| Phone Number: | 7652251685 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2014 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 28217521A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |