Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATRICE JANIVA SHELL
Active Sole ProprietorLATRICE JANIVA SHELL is a Gerontological Nurse Practitioner healthcare provider located in AIKEN, South Carolina. NPI 1528783065 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · AIKEN, SC
Registration Details
- NPI Number
- 1528783065
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2022 (3.8416445540802 yrs)
- Last Updated
- Feb 8, 2025
- Licenses
-
GAA-NP001142 (GA)F10220365 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
550 EASTGATE DRAIKEN, SC, 298037688Browse SC providers · Browse ZIP 29803
- Phone
- 8036433694
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.