Provider Demographics
NPI:1629783857
Name:SHEHATA, SHAWKAT (FNP)
Entity Type:Individual
Prefix:
First Name:SHAWKAT
Middle Name:
Last Name:SHEHATA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:SHAWKAT
Other - Middle Name:
Other - Last Name:SHEHATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN FNP
Mailing Address - Street 1:2711 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5307
Mailing Address - Country:US
Mailing Address - Phone:615-227-3000
Mailing Address - Fax:
Practice Address - Street 1:617 S 8TH ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3819
Practice Address - Country:US
Practice Address - Phone:615-227-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000266197163W00000X
TN34993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty