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

Ruth-Ann Samantha Shackleford

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568331767

Ruth-Ann Samantha Shackleford is a Psychiatric/Mental Health Nurse Practitioner in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

311 Gwinnett Dr
Lawrenceville, GA 30046-5629
Phone: (770) 910-9196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP287472 (GA)

Record details

NPI number1568331767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

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