Individual provider · Type 1 NPI

Shantiya Latoya Nachell Teel, NURSE PRACTITONER

Acute Care Nurse Practitioner · Stone Mountain, GA

NPI number 1407669567 Active

Practice location

6749 Poplar Grove Way
Stone Mountain, GA 30087-6330

Call (470) 375-2103 Map

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN-NP280096 (GA)

Acute Care Nurse Practitioner: Definition to come...

About NPI 1407669567

Shantiya Latoya Nachell Teel, NURSE PRACTITONER's National Provider Identifier is 1407669567, issued on Jan 30, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Stone Mountain, GA. The record was last updated on Jul 1, 2026.