Provider Demographics
NPI:1922811710
Name:MAYS, SHANI RASHIDA (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHANI
Middle Name:RASHIDA
Last Name:MAYS
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 CAPITAL WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-4305
Mailing Address - Country:US
Mailing Address - Phone:904-373-7113
Mailing Address - Fax:817-835-7233
Practice Address - Street 1:3104 CAPITAL WAY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-4305
Practice Address - Country:US
Practice Address - Phone:940-373-7113
Practice Address - Fax:682-286-5665
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178456363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health