SHEKELLA BLANDEN


Address: 174 Tallassee Trl, Leesburg, GA 31763-3770
Phone: 9047163749

SHEKELLA BLANDEN (NPI# 1396285516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396285516
Entity Type Individual
Full Name SHEKELLA BLANDEN
Credential NP
Practice Address 174 Tallassee Trl
Leesburg
GA 31763-3770
Practice Telephone 9047163749
Enumeration Date 2017-03-07
Last Update Date 2017-03-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN223070 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 174 TALLASSEE TRL
City LEESBURG
State GA
Zip Code 31763-3770

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1255649273 Lee County Optical LLC Optometrist 1569 Highway 19 South, Leesburg, GA 31763 2010-09-24
1851572473 Shaun Nicholas Price Chiropractor 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 2007-11-26
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1063570398 Lee County Board of Education Local Education Agency (LEA) 126 Starksville Avenue, North, Leesburg, GA 31763 2006-12-06
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1205362332 Anna-marie M Roswold Nurse Practitioner 29320 Us Highway 27, Leesburg, FL 34748 2017-05-10
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1851622732 Jennifer Lynn Sylvester Nurse Practitioner 823 S King St, Suite F, Leesburg, VA 20175-3915 2010-01-17

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NPI Name Taxonomy Address Enumeration
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1952913808 Carol Jo Wilbanks Nurse Practitioner 206 Crest Dr, Rock Spring, GA 30739-2041 2020-08-21
1164032017 Myiesha Sellers Mcfarlin Nurse Practitioner 55 Sellers Ln, Baxley, GA 31513-2208 2020-08-05
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1346861127 Finan Tedla Nurse Practitioner 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 2020-05-03
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Competitor

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City LEESBURG
Zip Code 31763

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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