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

Shekiva Petty

Individual provider Licensed Practical Nurse · NPI 1043003213

Shekiva Petty is a Licensed Practical Nurse in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone: (662) 640-4595
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 98543 (MS)

Record details

NPI number1043003213
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address2434 S Eason Blvd, Tupelo, MS 38804-6942

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