# NP PRIMARY CARE CLINICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629522404
- **Authorized official:** DR. JASON T SHUFFITT DNP, APRN (PRESIDENT & CEO)
- **Authorized official phone:** (270) 282-7102

## Contact information

- **Practice address:** 1214 HERRINGTON ST, BOWLING GREEN, KY 42104-3235
- **Practice address phone:** (270) 282-7201
- **Mailing address:** 1214 HERRINGTON ST, BOWLING GREEN, KY 42104-3235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3005814 | KY | Yes |

## Other

- **Enumeration date:** 08/09/2016
- **Last updated:** 08/09/2016