Provider Demographics
NPI:1598656241
Name:KAMAL, SHAREEZA (MSN, PNP-PC)
Entity type:Individual
Prefix:MS
First Name:SHAREEZA
Middle Name:
Last Name:KAMAL
Suffix:
Gender:X
Credentials:MSN, PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 DOUBLE SPRING LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-8907
Mailing Address - Country:US
Mailing Address - Phone:336-596-2558
Mailing Address - Fax:
Practice Address - Street 1:188 DOUBLE SPRING LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-8907
Practice Address - Country:US
Practice Address - Phone:336-596-2558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC202529867363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics