Provider Demographics
NPI:1649928995
Name:MURRAY, SHENITA CONSUELA (PMHNP-BC, MSN, CMSRN)
Entity type:Individual
Prefix:
First Name:SHENITA
Middle Name:CONSUELA
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PMHNP-BC, MSN, CMSRN
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Mailing Address - Street 1:2636 US HIGHWAY 117 N
Mailing Address - Street 2:
Mailing Address - City:BURGAW
Mailing Address - State:NC
Mailing Address - Zip Code:28425-3934
Mailing Address - Country:US
Mailing Address - Phone:910-612-4551
Mailing Address - Fax:
Practice Address - Street 1:5710 OLEANDER DR STE 100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4723
Practice Address - Country:US
Practice Address - Phone:910-612-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC224060163WH0200X
NC5019158363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health