Provider Demographics
NPI:1669594479
Name:GATLING-JAMES, SHEROCKO RIESHELL (FNP)
Entity type:Individual
Prefix:MRS
First Name:SHEROCKO
Middle Name:RIESHELL
Last Name:GATLING-JAMES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3860 RYANS RUN WAY SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-2232
Mailing Address - Country:US
Mailing Address - Phone:770-807-4710
Mailing Address - Fax:949-862-1987
Practice Address - Street 1:956 KILLIAN HILL RD SW STE B
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-8977
Practice Address - Country:US
Practice Address - Phone:770-335-2434
Practice Address - Fax:949-862-1987
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN189854363LF0000X
ARR63483163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily