Shamarra Jackson Farmer, RN
Registered Nurse, Ambulatory Care in Fayetteville, GA. Individual provider (NPI-1).
NPI number1710694716
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1710694716
- Entity type
- Individual (NPI-1)
- Name
- Shamarra Jackson Farmer
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2022
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP2201X | Registered Nurse, Ambulatory Care | 207756 | GA | Yes |
Practice location
133 Windmeadow WayFayetteville, GA 30214-5313
Phone 404-788-5078
Mailing address
133 Windmeadow WayFayetteville, GA 30214-5313
Phone 404-788-5078
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