Provider Demographics
NPI:1558957100
Name:TIME, SHAMEKA YVONNE (RN)
Entity type:Individual
Prefix:MISS
First Name:SHAMEKA
Middle Name:YVONNE
Last Name:TIME
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:6804 CECELIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-4935
Mailing Address - Country:US
Mailing Address - Phone:855-232-0644
Mailing Address - Fax:888-546-0488
Practice Address - Street 1:6804 CECELIA DRIVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-4935
Practice Address - Country:US
Practice Address - Phone:855-232-0644
Practice Address - Fax:888-546-0488
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2024-07-16
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Provider Licenses
StateLicense IDTaxonomies
FL9510631163W00000X
FLAPRN11031605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse