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NPI Code Detail

MEDICARE: KELSEY OAKLEY SHEA PMHNP

MEDICARE: KELSEY OAKLEY SHEA PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN268445GA

General Provider Information

NPI Number : 1508684374
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY OAKLEY SHEA PMHNP
Provider Business Mailing Address
First Line : 1314 CONCORD RD SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4361
Country : US
Telephone Number : 770-438-1799
Fax Number : 770-825-9046
Provider Business Practice Location Address
First Line : 1314 CONCORD RD SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4361
Country : US
Telephone Number : 770-438-1799
Fax Number : 770-825-9046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2024
Last Update Date : 03/23/2026

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