Individual
SHEKELLA BLANDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
174 TALLASSEE TRL, LEESBURG, GA 31763-3770
(904) 716-3749
Mailing address
174 TALLASSEE TRL, LEESBURG, GA 31763-3770
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN223070
GA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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