person
Miss Shaquanda Shantivus Gordon, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Fairburn, Georgia
NPI 1891475430

Shaquanda Shantivus Gordon is a Psychiatric/Mental Health Nurse Practitioner based in Fairburn, GA and is specialized in Psychiatric/Mental Health. Shaquanda Shantivus Gordon practices in Fairburn, GA and has the professional credentials of PMHNP-BC. The NPI Number for Shaquanda Shantivus Gordon is 1891475430 and holds a License No. 2023060174 (Georgia).

The current practice location address for Shaquanda Shantivus Gordon is 825 Belmar Pass, Fairburn, GA and can be reached out via phone at 229-603-2601.

Location: 825 Belmar Pass, Fairburn, GA, 30213-4482
person
Provider Profile Details
NPI Number
1891475430
Provider Name
Shaquanda Shantivus Gordon
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
825 Belmar Pass, Fairburn, GA, 30213-4482
Phone Number
229-603-2601
Fax Number
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 Belmar Pass
City
State
Zip
30213-4482
Phone Number
229-603-2601
Fax Number
person
Provider Business Mailing Address Details
Address
825 Belmar Pass
City
State
Zip
30213-4482
Phone Number
229-603-2601
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2023060174 (Georgia)
Definition
Definition to come...
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