Shonkeisha Byrd
Nurse Practitioner - Gerontology
1160 Great River Pkwy
Lawrenceville
, Georgia 30045-7015
Shonkeisha Byrd
Nurse Practitioner - Gerontology
1160 Great River Pkwy
Lawrenceville
, Georgia 30045-7015
(678) 433-9152
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Shonkeisha Byrd
- 595 Hurricane Shoals Rd Nw Ste 100
- Lawrenceville, GA
- Zip : 30046-8762
- Fax : (678) 433-9152
- Phone : (404) 645-7150
Second Address
- Shonkeisha Byrd
- 1160 Great River Pkwy
- Lawrenceville, GA
- Zip : 30045-7015
- Phone : (706) 833-7535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN176478 | GA |
National Provider Identifier
| NPI | 1043828106 |
|---|---|
| Provider Name | Shonkeisha Byrd |
| First Address | Lawrenceville, GA 30046-8762 |
| Second Address | Lawrenceville, GA 30045-7015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2020 |
| Last Update Date | 07/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.