| Shadekra Stasher, | |
|
168 Harvey Cir, Canton, MS 39046-4560 | |
| (601) 718-2468 | |
| Not Available |
| Full Name | Shadekra Stasher |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 168 Harvey Cir, Canton, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518883636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 341595 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shadekra Stasher, 168 Harvey Cir, Canton, MS 39046-4560 Ph: () - | Shadekra Stasher, 168 Harvey Cir, Canton, MS 39046-4560 Ph: (601) 718-2468 |
Falasha Reed, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 | |
Claudia Patton, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 412 John Day Rd, Canton, MS 39046 Phone: 769-230-0347 Fax: 800-530-2927 |