Martin, Shelley Charmaine

Martin, Shelley Charmaine is an individual health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Ste 500 , Gainesville GA 30501-3861. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Martin, Shelley Charmaine can be contacted via phone (770) 536-9864.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Ste 500 Gainesville GA 30501-3861
Phone: (770) 536-9864
Fax: (770) 297-5025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-086060 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1-086060 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X GAA-NP001186 Georgia

Profile Details

NPI number 1003363201
LBN Legal business name Martin, Shelley Charmaine
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2016
Last updated Dec 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003363201 NPPES
Alabama MEDICAID 226376

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