Provider Demographics
NPI:1225897374
Name:BARRY, SHAUNA CHRISTINE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:CHRISTINE
Last Name:BARRY
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 E FRANKLIN ST APT 110
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7004
Mailing Address - Country:US
Mailing Address - Phone:617-435-5123
Mailing Address - Fax:
Practice Address - Street 1:2201 E FRANKLIN ST APT 110
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7004
Practice Address - Country:US
Practice Address - Phone:617-435-5123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00031307366163WP0808X
VA0024192184363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health