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Pamela Denise Shipman, LPN

Licensed Practical Nurse in Buford, GA. Individual provider (NPI-1).

NPI number1003536152
StatusActive
Last updated in NPPESAug 30, 2022

Details

NPI
1003536152
Entity type
Individual (NPI-1)
Name
Mrs. Pamela Denise Shipman
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2022
Certification date
Aug 30, 2022
Last updated
Aug 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN055235GAYes

Practice location

4271 S Lee St Ste 101102
Buford, GA 30518-3710

Phone 678-765-8160

Mailing address

4271 S Lee St Ste 101102
Buford, GA 30518-3710

Phone 678-765-8160

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