Provider Demographics
NPI:1346990199
Name:GIEGER, SHANA DIANE (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHANA
Middle Name:DIANE
Last Name:GIEGER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 BRYAN ST E
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-0012
Mailing Address - Country:US
Mailing Address - Phone:912-501-6900
Mailing Address - Fax:
Practice Address - Street 1:305 RADCLIFFE AVE
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2041
Practice Address - Country:US
Practice Address - Phone:912-590-1254
Practice Address - Fax:912-214-4629
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN184011363LW0102X, 363LX0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology