Individual
SHALEACIA SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 DIXIE ST STE 220, CARROLLTON, GA 30117-3889
(770) 812-8825
(770) 812-5910
Mailing address
706 DIXIE ST STE 220, CARROLLTON, GA 30117-3889
(770) 812-8825
(770) 812-5910
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP258244
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN258244
GA STATE LICENSE
GA
Enumeration date
02/26/2019
Last updated
12/12/2025
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