Shelley Charmaine Martin, CNP
Nurse Practitioner in Gainesville, GA. Individual provider (NPI-1).
NPI number1003363201
StatusActive
Last updated in NPPESDec 12, 2023
Details
- NPI
- 1003363201
- Entity type
- Individual (NPI-1)
- Name
- Shelley Charmaine Martin
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2016
- Certification date
- Dec 12, 2023
- Last updated
- Dec 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | GAA-NP001186 | GA | Yes |
| 363L00000X | Nurse Practitioner | 1-086060 | AL | |
| 363LG0600X | Nurse Practitioner, Gerontology | 1-086060 | AL |
Other names
- Shelley Charmaine Day (Former Name)
Practice location
1240 Jesse Jewell Pkwy Se Ste 500Gainesville, GA 30501-3861
Phone 770-536-9864 · Fax 770-297-5025
Mailing address
1240 Jesse Jewell Pkwy Se Ste 500Gainesville, GA 30501-3861
Phone 770-536-9864 · Fax 770-297-5025
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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