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SHAWONDA DURHAM
NPI 1255125712
Student in an Organized Health Care Education/Training Program in Jeffersonville, GA

Active since April 08, 2025
1548 MAIN ST, JEFFERSONVILLE, GA 31044(478) 319-4022 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shawonda Durham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWONDA DURHAM (NPI 1255125712) is an individual student in an organized health care education/training program in Jeffersonville, Georgia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1255125712
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAWONDA DURHAM
Location Address1548 MAIN STJeffersonville, GA 31044-3838
Mailing Address1548 Main StJeffersonville, GA 31044-3838
Phone(478) 319-4022
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1255125712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1548 MAIN ST, Jeffersonville, GA 31044
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawonda Durham's NPI number?

The NPI number for Shawonda Durham is 1255125712. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Shawonda Durham located?

Shawonda Durham practices at 1548 Main St, Jeffersonville, GA 31044. The listed phone number is (478) 319-4022.

What is Shawonda Durham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shawonda Durham was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.