Provider Demographics
NPI:1992698856
Name:HOWARD, SHANIKA (PMHNP)
Entity type:Individual
Prefix:
First Name:SHANIKA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 CRATEN RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2911
Mailing Address - Country:US
Mailing Address - Phone:757-386-9706
Mailing Address - Fax:757-386-9706
Practice Address - Street 1:916 CRATEN RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2911
Practice Address - Country:US
Practice Address - Phone:757-386-9706
Practice Address - Fax:757-386-9706
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024193459363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health