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

Shuntak Jerideau

Individual provider Registered Nurse · NPI 1548578578

Shuntak Jerideau is a Registered Nurse in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1350 N Westmoreland Rd
Dallas, TX 75211-1654
Phone: (214) 330-0036
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP140554 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 734308 (TX)

Record details

NPI number1548578578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2010
Last updated in NPPESAugust 11, 2019
Mailing address1350 N Westmoreland Rd, Dallas, TX 75211

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