Individual provider · Type 1 NPI

Deborah Shadburn, CPNP

Pediatric Nurse Practitioner · Gainesville, GA

NPI number 1790757714 Active

Practice location

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834

Call (770) 535-3611 Map

Fax (770) 535-7092

Mailing address

PO Box 658
Gainesville, GA 30503-0658

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	RN051454 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1790757714

Deborah Shadburn, CPNP's National Provider Identifier is 1790757714, issued on Feb 3, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gainesville, GA. The record was last updated on Aug 16, 2011.