Provider Demographics
NPI:1346937463
Name:EPPS, SHAUNDA J (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:SHAUNDA
Middle Name:J
Last Name:EPPS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:SHAUNDA
Other - Middle Name:J
Other - Last Name:FARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7967 PIKEFARM TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-7971
Mailing Address - Country:US
Mailing Address - Phone:470-473-9297
Mailing Address - Fax:
Practice Address - Street 1:7967 PIKEFARM TRL
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-7971
Practice Address - Country:US
Practice Address - Phone:470-473-9297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN275832163WP0809X, 2279H0200X, 163WC1500X, 163WH0200X, 163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent