MEDICARE: SHEENA T ALSTON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R197222	MD

General Provider Information

NPI Number	:	1821965971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEENA T ALSTON NP

Provider Business Mailing Address
First Line	:	3903 LAKESIDE CT
Second Line	:
City	:	DUNKIRK
State	:	MD
Zip	:	20754-9449
Country	:	US
Telephone Number	:	240-609-5454
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 MEDICAL CENTER DR STE 107
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-3711
Country	:	US
Telephone Number	:	240-609-5454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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