person
Deborah Shadburn, CPNP
Pediatric Nurse Practitioner in Gainesville, Georgia
NPI 1790757714

Deborah Shadburn is a Pediatric Nurse Practitioner based in Gainesville, GA and is specialized in Pediatrics. Deborah Shadburn practices in Gainesville, GA and has the professional credentials of CPNP. The NPI Number for Deborah Shadburn is 1790757714 and holds a License No. RN051454 (Georgia).

The current practice location address for Deborah Shadburn is 725 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 770-535-3611 and via fax at 770-535-7092.

Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
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Provider Profile Details
NPI Number
1790757714
Provider Name
Deborah Shadburn
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
770-535-3611
Fax Number
770-535-7092
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000733268E 05 GA
303687 01 GA WELLCARE
303688 01 GA WELLCARE
303689 01 GA WELLCARE
000733268F 05 GA
303674 01 GA WELLCARE
10032995 01 GA AMERIGROUP
000733268A 05 GA
000733268B 05 GA
institution
Provider Business Practice Location Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-535-3611
Fax Number
770-535-7092
person
Provider Business Mailing Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-535-3611
Fax Number
770-535-7092
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN051454 (Georgia)
Definition
Definition to come...
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