Individual provider · Type 1 NPI
Timesha Ben-Shidah
Family Nurse Practitioner · Loganville, GA
NPI number
1245100353
Active
Practice location
529 Azalea Bloom Dr
Loganville, GA 30052-5739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP282511 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245100353
Timesha Ben-Shidah's National Provider Identifier is 1245100353, issued on Nov 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loganville, GA. The record was last updated on Nov 5, 2025.