Individual provider · Type 1 NPI
Shanelle Lynette Raiford, DNP
Nurse Practitioner · Stockbridge, GA
Practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Mailing address
2028 Hidden Meadow Ln
Stone Mountain, GA 30088-4448
Other practice locations
- 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 · (404) 587-0552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN245806 (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 1902404320
Shanelle Lynette Raiford, DNP's National Provider Identifier is 1902404320, issued on Oct 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockbridge, GA. The record was last updated on Jan 14, 2025.