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

Shakia Leann Nelson, CEO

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1063158582

Shakia Leann Nelson, CEO is a Clinical Laboratory Director (Non-physician) in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

1830 Owen Dr Ste 202-2
Fayetteville, NC 28304-1611
Phone: (910) 218-0015
Fax: (910) 500-3999
Show map & directions

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

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X (NC)

Record details

NPI number1063158582
Entity typeIndividual (Type 1)
GenderFemale
Credentials CEO
Sole proprietorNo
NPI enumeratedMay 8, 2022
Last updated in NPPESMay 8, 2022
Certification dateMay 8, 2022