Naiomi Michelle Shockley in Morrow - Pediatrics

Naiomi Michelle Shockley - NPI 1457486425

Naiomi Michelle Shockley is a Pediatrics in Morrow, Georgia. Naiomi Michelle Shockley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Naiomi Michelle Shockley is 1457486425. The last update date is 2015-05-15.

Naiomi Michelle Shockley's current location address is 1115 Mount Zion Rd, Morrow, Georgia. You can contact this provider via phone number 7709609999 and fax number 7709600931. The mailing address for Naiomi Michelle Shockley is 1115 Mount Zion Rd, Morrow, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Naiomi Michelle Shockley
Address 1115 Mount Zion Rd, Morrow, Georgia
Phone Number 7709609999
Fax Number 7709600931
Sole Proprietor Y
Credentials CPNP

NPI Number Detail

NPI Number 1457486425
Provider Enumeration Date 2007-02-22
Last Updated Date 2015-05-15

Provider Mailing Address Detail

Address 1115 Mount Zion Rd
City Morrow
State Georgia (GA)
Post Code 302602266
Phone Number 7709609999
Fax Number 7709600931

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No RN159492
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20060526 GA PEDS NURSING CERTIFICATIO
472261189 GA TAX ID
581238651 GA TAX ID #
NCO000006 GA NATIONAL BD OF PED NURSE
RN159492 GA LICENSE #
003134388B GA --

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FAQs about Naiomi Michelle Shockley

What is the unique 10-digit identification code assigned to Naiomi Michelle Shockley by the Centers for Medicare & Medicaid Services?

The Naiomi Michelle Shockley has been issued the NPI (National Provider Identifier) 1457486425, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Naiomi Michelle Shockley is physically located?

The Naiomi Michelle Shockley is situated at the following address: 1115 Mount Zion Rd, Morrow, GA 302602266.

What is Naiomi Michelle Shockley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Naiomi Michelle Shockley's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.

When did Naiomi Michelle Shockley receive its 1457486425 assignment?

The Naiomi Michelle Shockley was assigned its 1457486425 on 2007-02-22, which is the date when this unique identifier was issued to the organization.

When was the information regarding Naiomi Michelle Shockley most recently updated?

The details pertaining to the Naiomi Michelle Shockley, including its address, specialty, and other relevant information, were last refreshed on 2015-05-15.

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