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Shaleacia Shipman
Pediatric Nurse Practitioner in Snellville, Georgia
NPI 1154888147

Shaleacia Shipman is a Pediatric Nurse Practitioner based in Snellville, GA and is specialized in Pediatrics. Shaleacia Shipman practices in Snellville, GA. The NPI Number for Shaleacia Shipman is 1154888147 and holds a License No. RN258244 (Georgia).

The current practice location address for Shaleacia Shipman is 1700 Tree Ln Ste 110, Snellville, GA and can be reached out via phone at 678-775-1501.

Location: 1700 Tree Ln Ste 110, Snellville, GA, 30078-6749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154888147
Provider Name
Shaleacia Shipman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 Tree Ln Ste 110, Snellville, GA, 30078-6749
Phone Number
678-775-1501
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN258244 01 GA GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1700 Tree Ln Ste 110
City
Snellville
State
Georgia
Zip
30078-6749
Phone Number
678-775-1501
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Tree Ln Ste 110
City
Snellville
State
Georgia
Zip
30078-6749
Phone Number
678-775-1501
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN258244 (Georgia)
Definition
Definition to come...
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