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

Shantwana Tashun Patterson

Individual provider Family Medicine Physician · NPI 1366391088

Shantwana Tashun Patterson is a Family Medicine Physician in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

111 Granite Way
Vicksburg, MS 39183-6952
Phone: (662) 299-1888
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 915953 (MS)

Record details

NPI number1366391088
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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