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NPI Code Detail

MEDICARE: MRS. SHELLI ALYCE LARKIN NP

MEDICARE:  MRS. SHELLI ALYCE LARKIN  NP
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
1363LW0102XWomen's Health Nurse PractitionerRN134519 NPGA

General Provider Information

NPI Number : 1447326822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHELLI ALYCE LARKIN NP
Provider Business Mailing Address
First Line : 1061 HARMON AVE
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-6965
Fax Number :
Provider Business Practice Location Address
First Line : 987 SAINT SEBASTIAN WAY
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-2613
Country : US
Telephone Number : 706-721-3448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 12/22/2025

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