Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS SHAQUANDA SHANTIVUS GORDON, PMHNP-BC
ActiveMISS SHAQUANDA SHANTIVUS GORDON, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAIRBURN, Georgia. NPI 1891475430 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FAIRBURN, GA
Registration Details
- NPI Number
- 1891475430
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2023 (2.8843232198408 yrs)
- Last Updated
- Jul 19, 2023
- License
-
2023060174 (GA)
Practice Information
- Address
-
825 BELMAR PASSFAIRBURN, GA, 302134482Browse GA providers · Browse ZIP 30213
- Phone
- 2296032601
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in FAIRBURN, GA
| Name | Credential | NPI |
|---|---|---|
| MS. SANDRA WEST | REGISTERED NURSE | 1366648156 |
| MISS KENOSHA LATRICE TILLMAN | NURSE PRACTITIONER | 1275886103 |
| RYKEYLA BRIDGES | PMHNP-BC | 1326602053 |
| KEESHA TAMARA MARIA HAMILTON-FOWLER | NP | 1962220970 |
| LUCIA ADEBESIN | — | 1326861030 |
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.