Individual provider · NPI-1

Shaowen Cheng, FNP-BC

Nurse Practitioner, Family · Brookhaven, GA

NPI number1871382358
StatusActive
Last updated in NPPESMay 21, 2025

Details

NPI
1871382358
Entity type
Individual (NPI-1)
Name
Shaowen Cheng
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2025
Certification date
May 21, 2025
Last updated
May 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN307342GAYes
163W00000X Registered NurseRN307342GA

Practice location

3101 Clairmont Rd Ne
Brookhaven, GA 30329-1044

Phone 404-315-4100

Mailing address

3101 Clairmont Rd Ne
Brookhaven, GA 30329-1044

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