Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanika Desmoulin, RN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285025965

Shanika Desmoulin, RN, PMHNP-BC is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

31 Brooklawn Pl
Bridgeport, CT 06604-2117
Phone: (917) 651-9240
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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 3819392 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 738515 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 320771 (NY)

Record details

NPI number1285025965
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 17, 2015
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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