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

Individual provider Licensed Practical Nurse · NPI 1669830642

Shatara Devaughn is a Licensed Practical Nurse in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

499 Lincoln Pl
Brooklyn, NY 11238-6244
Phone: (347) 458-3417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 321290 (NY)

Record details

NPI number1669830642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2016
Last updated in NPPESFebruary 4, 2016

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