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Individual

IRINA SHISHKINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
820 SAINT SEBASTIAN WAY # 4A, AUGUSTA, GA 30901-2643
(706) 774-5995
Mailing address
4350 TOWNE CENTRE DR STE 2200, EVANS, GA 30809-3346
(706) 722-0705

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN219797
GA

Other

Enumeration date
03/20/2024
Last updated
04/15/2025
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