Individual provider · Type 1 NPI

Inez Ida Shanks, REGISTER NURSE

Community Health Registered Nurse · Fort Stewart, GA

NPI number 1093796153 Active

Practice location

1061 Harmon Ave, Ste 1 D03
Fort Stewart, GA 31314-5604

Mailing address

971 Fox Haven Ct
Hinesville, GA 31313-4950

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X163WC1500X (GA)

Community Health Registered Nurse: Definition to come...

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About NPI 1093796153

Inez Ida Shanks, REGISTER NURSE's National Provider Identifier is 1093796153, issued on Nov 7, 2005. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fort Stewart, GA. The record was last updated on Jul 13, 2026.