person
Ms. Naiomi Michelle Shockley, CPNP
Pediatric Nurse Practitioner in Morrow, Georgia
NPI 1457486425

Naiomi Michelle Shockley is a Pediatric Nurse Practitioner based in Morrow, GA and is specialized in Pediatrics. Naiomi Michelle Shockley practices in Morrow, GA and has the professional credentials of CPNP. The NPI Number for Naiomi Michelle Shockley is 1457486425 and holds a License No. RN159492 (Georgia).

The current practice location address for Naiomi Michelle Shockley is 1115 Mount Zion Rd Ste E, Morrow, GA and can be reached out via phone at 770-960-9999 and via fax at 770-960-0931.

Location: 1115 Mount Zion Rd Ste E, Morrow, GA, 30260-2266
person
Provider Profile Details
NPI Number
1457486425
Provider Name
Naiomi Michelle Shockley
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1115 Mount Zion Rd Ste E, Morrow, GA, 30260-2266
Phone Number
770-960-9999
Fax Number
770-960-0931
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20060526 01 GA PEDS NURSING CERTIFICATIO
472261189 01 GA TAX ID
581238651 01 GA TAX ID #
NCO000006 01 GA NATIONAL BD OF PED NURSE
RN159492 01 GA LICENSE #
003134388B 05 GA
institution
Provider Business Practice Location Address Details
Address
1115 Mount Zion Rd Ste E
City
State
Zip
30260-2266
Phone Number
770-960-9999
Fax Number
770-960-0931
person
Provider Business Mailing Address Details
Address
1115 Mount Zion Rd Ste E
City
State
Zip
30260-2266
Phone Number
770-960-9999
Fax Number
770-960-0931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN159492 (Georgia)
Definition
Definition to come...
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