IndividualActive
Shanterika Tate
NPI 1770100109 · Nurse's Aide · Moss Point, MS
Provider details
- NPI number
- 1770100109
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
5407 Martin Luther King Blvd
Moss Point, MS 39563-4543
Phone: (228) 205-8303
Approximate (ZIP-level) locationGet directions
Mailing address
5407 Martin Luther King Blvd
Moss Point, MS 39563-4543
Registry dates
- Enumerated
- 2020-07-01
- Last updated
- 2020-07-01
- Certified
- 2020-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.