Individual
MRS. SHELBY JORDAN PALMERTON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, WHNP-BC
Contact information
Practice address
1 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-0737
Mailing address
208 COVEY RISE LN, BROOKLET, GA 30415-7516
(706) 594-7608
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN245288
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN245288
GA
Other
Enumeration date
05/27/2022
Last updated
07/14/2022
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