Organization
LEGACY NURSE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEA MCDANIEL APRN, PMHNP-BC (OWNER)
(803) 295-2508
Entity
Organization
Contact information
Practice address
552 CREEK VALLEY CT, STOCKBRIDGE, GA 30281-7901
(803) 295-2508
Mailing address
552 CREEK VALLEY CT, STOCKBRIDGE, GA 30281-7901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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