Individual provider · Type 1 NPI

Pamela G. Shaw-Grant, ADVANCED NURSE PRACT

Nurse Practitioner · Columbus, GA

NPI number 1477546489 Active

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Fax (706) 576-5896

Mailing address

1 Clear Crk
Fort Mitchell, AL 36856-4433

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN070808 (GA)

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 1477546489

Pamela G. Shaw-Grant, ADVANCED NURSE PRACT's National Provider Identifier is 1477546489, issued on Aug 24, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, GA. The record was last updated on Oct 28, 2025.