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

Deshawntae Griffin

Individual provider Family Nurse Practitioner · NPI 1649810938

Deshawntae Griffin is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2019, 7 years ago. Practices with Professional Services Group Inc, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2468 W Lisbon Ave
Milwaukee, WI 53205-1413
Phone: (414) 202-5080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9828-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9828-33 (WI)

Record details

NPI number1649810938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Professional Services Group Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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