| Doctor Name: | KENDRA SHEARER |
| NPI Number: | 1003281726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTRED NURSE |
| License Number: | RN125762 |
| Business Practice Address: | 1241 Channel Park Sw Marietta, GA - 300643825 |
| Business Phone Number: | 4044232370 |
| Business Fax Number: | 7705737308 |
| Mailing Address: | 1241 Channel Park Sw, MARIETTA |
| State: | GA |
| Postal Code: | 300643825 |
| Phone Number: | 4044232370 |
| Fax Number: | 7705737308 |
| NPI Enumeration Date: | 12/07/2015 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN125762 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |