Individual
MS. SHANTELLE COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5805 STATE BRIDGE RD # G-112, JOHNS CREEK, GA 30097-8220
(678) 369-5577
Mailing address
5805 STATE BRIDGE RD # G-112, JOHNS CREEK, GA 30097-8220
(678) 369-5577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-97583
HI
163W00000X
Registered Nurse
RN186554
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-3573
HI
Other
Enumeration date
03/17/2021
Last updated
08/10/2022
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