Miss. Shaquanda Shantivus Gordon, PMHNP-BC
Miss. Shaquanda Shantivus Gordon, PMHNP-BC is a Nurse Practitioner in Fairburn, Georgia. Qualified in 2023, 3 years ago. Practices with Brave Health Medical Group, PA, a 94-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 3
- Licensed in
- GA
- In the registry since
- 2023
What do these letters mean?
- PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
- A board-certified psychiatric nurse practitioner.
Practice location Address checks out
825 Belmar PassFairburn, GA 30213-4482
Phone: (229) 603-2601
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 2023060174 (GA) |
|---|
Record details
| NPI number | 1891475430 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP-BC |
| Sole proprietor | No |
| NPI enumerated | July 19, 2023 |
| Last updated in NPPES | July 19, 2023 |
| Certification date | July 19, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Brave Health Medical Group, Pa — 94 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fairburn
-
Lucia Adebesin
1154 Sly Fox Run, Fairburn, GA 30213-4910 · (404) 707-7799
-
Keesha Tamara Maria Hamilton-Fowler, NP
7446 Jennadee Dr # GA, Fairburn, GA 30213-6538 · (407) 773-4193
-
Miss. Kenosha Latrice Tillman, NURSEPRACTITIONER
5220 Rosewood Pl, Fairburn, GA 30213-5113 · (901) 277-7086