Individual
KENDRA SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTRED NURSE
Contact information
Practice address
1241 CHANNEL PARK SW, MARIETTA, GA 30064-3825
(404) 423-2370
(770) 573-7308
Mailing address
1241 CHANNEL PARK SW, MARIETTA, GA 30064-3825
(404) 423-2370
(770) 573-7308
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN125762
GA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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