Provider Demographics
NPI:1467243493
Name:KEEL, SHALANA (MSN, RN, APRN, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:SHALANA
Middle Name:
Last Name:KEEL
Suffix:
Gender:F
Credentials:MSN, RN, APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2736 RUTH EVANS DR
Mailing Address - Street 2:
Mailing Address - City:GRIMESLAND
Mailing Address - State:NC
Mailing Address - Zip Code:27837-8605
Mailing Address - Country:US
Mailing Address - Phone:252-702-6843
Mailing Address - Fax:
Practice Address - Street 1:2736 RUTH EVANS DR
Practice Address - Street 2:
Practice Address - City:GRIMESLAND
Practice Address - State:NC
Practice Address - Zip Code:27837-8605
Practice Address - Country:US
Practice Address - Phone:252-702-6843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPMH05250018363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty