IndividualActive
Dilleta Shackelford, APRN
NPI 1811209208 · Occupational Health Nurse Practitioner · Valdosta, GA
Provider details
- NPI number
- 1811209208
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN080625 (GA)
Practice location
520 Griffin Ave
Valdosta, GA 31601-6331
Phone: (229) 249-6302
Fax: (229) 249-4009
Mailing address
520 Griffin Ave
Valdosta, GA 31601-6331
Registry dates
- Enumerated
- 2010-07-14
- Last updated
- 2010-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.