MISS Shaquanda Shantivus Gordon, PMHNP-BC

NPI #1891475430 in Fairburn, Georgia

Provider Information

NPI Number
1891475430
Entity Type
Individual
Name
MISS Shaquanda Shantivus Gordon, PMHNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP-BC
Enumeration Date
Jul 19, 2023
Last Updated
Jul 19, 2023

Practice Location

Address
825 BELMAR PASS
State
Georgia
ZIP Code
30213-4482
Phone
(229) 603-2601

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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