Provider Demographics
NPI:1356231120
Name:FORD, SHEMEKIA NICOLE (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:SHEMEKIA
Middle Name:NICOLE
Last Name:FORD
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1249 PARMER DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-1967
Mailing Address - Country:US
Mailing Address - Phone:314-853-7230
Mailing Address - Fax:
Practice Address - Street 1:1249 PARMER DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-1967
Practice Address - Country:US
Practice Address - Phone:314-853-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOF06250782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily