Organization · Type 2 NPI
Shining Light Behavior Health Services
Nurse Practitioner · Lawrenceville, GA
Practice location
1523 Great Shoals Cir
Lawrenceville, GA 30045-7098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1447136122
Shining Light Behavior Health Services's National Provider Identifier is 1447136122, issued on Aug 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 15, 2025.