Provider Demographics
NPI:1477439453
Name:SHOEMAKER, ALICIA DIANE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:DIANE
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ALICIA
Other - Middle Name:DIANE
Other - Last Name:LIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:60 CANDOVER CT
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-8280
Mailing Address - Country:US
Mailing Address - Phone:678-749-6633
Mailing Address - Fax:
Practice Address - Street 1:17 WHITE ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-1140
Practice Address - Country:US
Practice Address - Phone:706-969-7510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN257422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily