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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DILLETA ANDREE SHACKELFORD, APRN

Active Sole Proprietor

DILLETA ANDREE SHACKELFORD, APRN is a Occupational Health Nurse Practitioner healthcare provider located in VALDOSTA, Georgia. NPI 1811209208 is currently active in the NPPES registry. Verify at CMS.

Occupational Health Nurse Practitioner · VALDOSTA, GA

Registration Details

NPI Number
1811209208
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2010 (16.117027568063 yrs)
Last Updated
Jul 14, 2010
License
RN080625 (GA)
Sole Proprietor
Yes

Practice Information

Address
520 GRIFFIN AVE
VALDOSTA, GA, 316016331
Browse GA providers · Browse ZIP 31601
Phone
2292496302
Fax
2292494009
Primary Specialty
Occupational Health Nurse Practitioner
363LX0106X
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.