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NPI Code Detail

MEDICARE: SHANTEE LYNNE HENRY

MEDICARE: SHANTEE LYNNE HENRY
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
1163WC1400XCollege Health Registered NurseRN077513GA

General Provider Information

NPI Number : 1699621102
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANTEE LYNNE HENRY
Provider Business Mailing Address
First Line : 231 W HANCOCK ST
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-3371
Country : US
Telephone Number : 478-445-8750
Fax Number :
Provider Business Practice Location Address
First Line : 231 W HANCOCK ST
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-3371
Country : US
Telephone Number : 478-445-8750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ SHANTEE LYNNE HENRY ” Practice Location

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