Provider Demographics
NPI:1356239271
Name:PRATT, SHEILA MAE (RN)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MAE
Last Name:PRATT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 UPPER RIVERDALE RD APT 13L
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1022
Mailing Address - Country:US
Mailing Address - Phone:678-709-7954
Mailing Address - Fax:
Practice Address - Street 1:221 UPPER RIVERDALE RD APT 13L
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1022
Practice Address - Country:US
Practice Address - Phone:678-709-7954
Practice Address - Fax:678-709-7954
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN238924163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology