MISS Shaquanda Shantivus Gordon, PMHNP-BC is a psychiatric/mental health nurse practitioner in Fairburn, GA with 1 years of experience. MISS Shaquanda Shantivus Gordon, PMHNP-BC NPI is 1891475430. 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:
825 BELMAR PASS
FAIRBURN, GA
ZIP 30213-482
Phone: (229) 603-2601
The NPI 1891475430 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 7/19/2023 and was last updated on 7/19/2023.