Shockley, Naiomi Michelle

Shockley, Naiomi Michelle is an sole proprietor health care provider with primary practice located at 1115 Mount Zion Rd Ste E , Morrow GA 30260-2266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shockley, Naiomi Michelle can be contacted via phone (770) 960-9999.

Contact Information

Primary practice address
1115 Mount Zion Rd Ste E Morrow GA 30260-2266
Phone: (770) 960-9999
Fax: (770) 960-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN159492 Georgia

Profile Details

NPI number 1457486425
LBN Legal business name Shockley, Naiomi Michelle
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Oct 13th, 2025 - about last year

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 1457486425 NPPES
Georgia Other 20060526 PEDS NURSING CERTIFICATIO
Georgia Other 472261189 PEDS NURSING CERTIFICATIO
Georgia Other 581238651 PEDS NURSING CERTIFICATIO
Georgia Other NCO000006 PEDS NURSING CERTIFICATIO
Georgia Other RN159492 PEDS NURSING CERTIFICATIO
Georgia MEDICAID 003134388B PEDS NURSING CERTIFICATIO

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