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NPI Profile for SHEKELLA BLANDEN in LEESBURG, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1396285516 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/07/2017 | |
| Last updated | 03/07/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHEKELLA BLANDEN
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SHEKELLA BLANDEN, NP