DILLETA ANDREE SHACKELFORD APRN NPI 1811209208

NPI Information

NPI: 1811209208
Provider Name: DILLETA ANDREE SHACKELFORD, APRN
Classification: Nurse Practitioner - 363LX0106X
Entity Type: Individual

Specialization: Occupational Health

PECOS Registration: Yes

Address:
520 GRIFFIN AVE
VALDOSTA, GA
ZIP 31601
Phone: (229) 249-6302
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Dilleta Andree Shackelford, APRN is an occupational health nurse practitioner in Valdosta, GA. Dilleta Andree Shackelford, APRN NPI is 1811209208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 GRIFFIN AVE
VALDOSTA, GA
ZIP 31601-331
Phone: (229) 249-6302
Fax: (229) 249-4009

The NPI 1811209208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2010 and was last updated on 7/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0106X	Nurse Practitioner	Occupational Health	RN080625	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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