Shipman, Shaleacia

Shipman, Shaleacia is an individual health care provider with primary practice located at 1700 Tree Ln Ste 110 , Snellville GA 30078-6749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shipman, Shaleacia can be contacted via phone (678) 775-1501.

Contact Information

Primary practice address
1700 Tree Ln Ste 110 Snellville GA 30078-6749
Phone: (678) 775-1501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN258244 Georgia

Profile Details

NPI number 1154888147
LBN Legal business name Shipman, Shaleacia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2019
Last updated Feb 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154888147 NPPES
Georgia Other RN258244 GA STATE LICENSE

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