Shamarra Jackson Farmer, RN
Individual provider Active NPI Ambulatory Care Registered Nurse · Fayetteville, GA
NPI 1710694716 · NPPES record last updated Oct 31, 2022
Key facts
- NPI
- 1710694716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 207756 (GA)
- Practice address
- 133 Windmeadow Way
Fayetteville, GA 30214-5313 - Phone
- (404) 788-5078
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207756 | GA | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 207756 | GA | Yes |
Addresses
Primary practice location
133 Windmeadow Way
Fayetteville, GA 30214-5313
Mailing address
133 Windmeadow Way
Fayetteville, GA 30214-5313
Phone (404) 788-5078
Other providers in Fayetteville, GA
- Families United Services, Inc.
- Family Healthcare, LLC
- Family Medicine Specialist, PC
- Lindsey Bryant Fannin
- Mattie Mae Farmer Clark
- Toniya Marie Farmer
- Fayette Care Clinic
- Fayette Community Hospital, Inc.
- Fayette County Board of Health
- Fayette Dental Group PC
All providers in Fayetteville, GA · Ambulatory Care Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.