Healthcare Provider Details

I. General information

NPI: 1427858398
Provider Name (Legal Business Name): SHELBIE BREANNA ATKINS DNP, FNP-BC, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 FALLSWAY
BALTIMORE MD
21202-4800
US

IV. Provider business mailing address

421 FALLSWAY
BALTIMORE MD
21202-4800
US

V. Phone/Fax

Practice location:
  • Phone: 410-837-5533
  • Fax: 443-703-1117
Mailing address:
  • Phone: 410-837-5533
  • Fax: 443-703-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR254206
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR254206
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: