Individual provider · Type 1 NPI
Shaquanda Shantivus Gordon, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fairburn, GA
NPI number
1891475430
Active
Practice location
825 Belmar Pass
Fairburn, GA 30213-4482
Other practice locations
- 3200 Highlands Pkwy SE Ste 400, Smyrna, GA 30082-5192 · (888) 588-8995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN269437 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1891475430
Shaquanda Shantivus Gordon, PMHNP-BC's National Provider Identifier is 1891475430, issued on Jul 19, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairburn, GA. The record was last updated on Oct 12, 2026.