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Individual
MRS. AMY JO SHUPTRINE
Active
Individual
MRS. AMY JO SHUPTRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
812655
TX
363L00000X
Nurse Practitioner
Primary
AP140582
TX
363LA2100X
Acute Care Nurse Practitioner
AP140582
TX
363LA2200X
Adult Health Nurse Practitioner
AP140582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15390359
TEXAS DRIVERS LICENSE
TX
Enumeration date
02/11/2019
Last updated
02/15/2023
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