Individual provider · NPI-1

Shequrrior Banks, FNP-BC

Nurse Practitioner · Dublin, GA

NPI number1255913323
StatusActive
Last updated in NPPESApr 27, 2021

Details

NPI
1255913323
Entity type
Individual (NPI-1)
Name
Shequrrior Banks
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 27, 2021
Certification date
Apr 27, 2021
Last updated
Apr 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN250608GAYes

Practice location

75 Woodlawn Dr Apt H8
Dublin, GA 31021-5582

Phone 706-566-6476

Mailing address

75 Woodlawn Dr Apt H8
Dublin, GA 31021-5582

Phone 706-566-6476

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