Individual
SHELLEY CHARMAINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501-3861
(770) 536-9864
(770) 297-5025
Mailing address
1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501-3861
(770) 536-9864
(770) 297-5025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-086060
AL
363L00000X
Nurse Practitioner
Primary
GAA-NP001186
GA
363LG0600X
Gerontology Nurse Practitioner
1-086060
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226376
—
AL
Enumeration date
09/06/2016
Last updated
12/12/2023
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