NPI 1003363201

Shelley Charmaine Martin, CNP

Practitioner Nurse Practitioner Gainesville, GA

Practice location

Address: 1240 Jesse Jewell Pkwy SE STE 500, Gainesville, GA 30501-3861
Phone: (770) 536-9864
Fax: (770) 297-5025

Registered specialties (3)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence GAA-NP001186 (GA)

Other Nurse Practitioner providers in Georgia →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 1-086060 (AL)

Gerontology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence 1-086060 (AL)

Registry record

NPI: 1003363201
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2016
Record last updated: 12 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.