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Organization
SHRIVER FAMILY PRACTICE LTD.
Active
Organization
SHRIVER FAMILY PRACTICE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTA J SHRIVER FNP-BC (OWNER)
(740) 577-3132
Entity
Organization
Contact information
Practice address
294 E MAIN ST, JACKSON, OH 45640-1745
(740) 577-3132
(740) 577-3156
Mailing address
294 E MAIN ST, JACKSON, OH 45640-1745
(740) 577-3132
(740) 577-3156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA12752
OH
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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