Provider Demographics
NPI:1043729932
Name:RIVERS, SHAKYRA (DNP, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHAKYRA
Middle Name:
Last Name:RIVERS
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 MCPHERSON AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-1661
Mailing Address - Country:US
Mailing Address - Phone:315-575-1525
Mailing Address - Fax:
Practice Address - Street 1:2700 CLAIRMONT RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2713
Practice Address - Country:US
Practice Address - Phone:404-327-8744
Practice Address - Fax:404-327-8746
Is Sole Proprietor?:No
Enumeration Date:2017-09-24
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5423363LF0000X
GARN323705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily