Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Shanley

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1720719263

Nicole Shanley is an Addiction (Substance Use Disorder) Registered Nurse in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 2923288 (GA)

Record details

NPI number1720719263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address6264 Shoreview Cir, Flowery Branch, GA 30542-7604

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