Provider Demographics
NPI:1629739347
Name:STUCKEY, SHEILA DELAINE (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:DELAINE
Last Name:STUCKEY
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:GA
Mailing Address - Zip Code:30436-1941
Mailing Address - Country:US
Mailing Address - Phone:912-293-2763
Mailing Address - Fax:
Practice Address - Street 1:447 COLLINS RD
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:GA
Practice Address - Zip Code:30436-1941
Practice Address - Country:US
Practice Address - Phone:912-293-2763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN102566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily