Ruth-ann Samantha Shackleford

Nurse Practitioner - Psych/Mental Health

311 Gwinnett Dr, Lawrenceville
  Georgia, 30046-5629
770-910-9196
May or may not accept Medicare Nurse Practitioner in Lawrenceville, Georgia.
Ruth-ann Samantha Shackleford is a Lawrenceville, Georgia based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Ruth-ann Samantha Shackleford is APRN-NP287472 for Psych/Mental Health NP in Georgia. Her current practice location is 311 Gwinnett Dr, Lawrenceville. Patients can reach her at 770-910-9196 with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1568331767.
Ruth-ann Samantha Shackleford provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ruth-ann Samantha Shackleford speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ruth-ann Samantha Shackleford
Specialization: Nurse Practitioner - Psych/Mental Health (PMHNP)
Gender:Female
Practice Address:311 Gwinnett Dr, Lawrenceville,
Georgia, 30046-5629
Phone:770-910-9196
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1568331767
NPI Enumeration Date: 04 Nov, 2025
NPI Last Update On: 04 Nov, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ruth-ann Samantha Shackleford are as mentioned below.
License NumberSpecializationStateStatus
APRN-NP287472Psych/Mental Health NP GeorgiaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ruth-ann Samantha Shackleford
311 Gwinnett Dr,
Lawrenceville, Georgia
Zip: 30046-5629
Phone Number: 770-910-9196
Patients can reach Ruth-ann Samantha Shackleford at 311 Gwinnett Dr, Lawrenceville, Georgia or can call to book an appointment on 770-910-9196.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.