Shahauna Latia Mallery, PMHNP-BC - Nurse Practitioner in Chesapeake, VA

Shahauna Latia Mallery, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Chesapeake, Virginia. Shahauna Latia Mallery is licensed to practice in Virginia (license number 0024186470) and her current practice location is 238 Battlefield Blvd S Ste 200, Chesapeake, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 330-2491.

NPI number for Shahauna Latia Mallery is 1861199184 and her current mailing address is 238 Battlefield Blvd S Ste 200, Chesapeake, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861199184.

Contact Information

Shahauna Latia Mallery, PMHNP-BC
238 Battlefield Blvd S Ste 200,
Chesapeake, VA 23322-5233
(757) 330-2491
(757) 974-0041

Map and Direction




Provider's Profile

Full NameShahauna Latia Mallery
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location238 Battlefield Blvd S Ste 200, Chesapeake, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861199184
  • Provider Enumeration Date: 02/08/2023
  • Last Update Date: 06/25/2024

Medical Identifiers

Medical identifiers for Shahauna Latia Mallery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861199184NPI-NPPES
0024186470OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
0001227876OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024186470 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shahauna Latia Mallery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shahauna Latia Mallery, PMHNP-BC
238 Battlefield Blvd S Ste 200,
Chesapeake, VA 23322-5233

Ph: (757) 330-2491
Shahauna Latia Mallery, PMHNP-BC
238 Battlefield Blvd S Ste 200,
Chesapeake, VA 23322-5233

Ph: (757) 330-2491

Reviews and Comments


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