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

Susan Stacker Shealy, APRNMSNCPNPPC

Individual provider Pediatric Nurse Practitioner · NPI 1922396696

Susan Stacker Shealy, APRNMSNCPNPPC is a Pediatric Nurse Practitioner in Gaffney, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2011

Practice location Address checks out

1307 N Logan St
Gaffney, SC 29341-2026
Phone: (864) 488-1333
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APN.17546 RX (SC)

Record details

NPI number1922396696
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNMSNCPNPPC
Sole proprietorYes
NPI enumeratedJuly 15, 2011
Last updated in NPPESJuly 15, 2011

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