Shakeilah Carelle Burns
Nurse Practitioner - Family Medicine
2725 Lincoln St E
Canton
, Ohio 44707-2769
Shakeilah Carelle Burns
Nurse Practitioner - Family Medicine
2725 Lincoln St E
Canton
, Ohio 44707-2769
(330) 454-2000
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Shakeilah Carelle Burns
- 2725 Lincoln St E
- Canton, OH
- Zip : 44707-2769
- Phone : (330) 454-2000
Second Address
- Shakeilah Carelle Burns
- 2725 Lincoln St E
- Canton, OH
- Zip : 44707-2769
- Phone : (330) 454-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.022572 | OH |
National Provider Identifier
| NPI | 1003305855 |
|---|---|
| Provider Name | Shakeilah Carelle Burns |
| First Address | Canton, OH 44707-2769 |
| Second Address | Canton, OH 44707-2769 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2018 |
| Last Update Date | 10/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0306046 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.