Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chavonne Nakia Shaw

Individual provider Nurse Practitioner · NPI 1174219638

Chavonne Nakia Shaw is a Nurse Practitioner in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417
Phone: (910) 984-8311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5017965 (NC)

Record details

NPI number1174219638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023

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