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Individual
MISS JENNIFER M SHUART
Active
Individual
MISS JENNIFER M SHUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, APRN
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114969
MA
363LF0000X
Family Nurse Practitioner
078416-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
078416-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027964A
—
MA
05
—
3114987
—
NH
Enumeration date
06/19/2007
Last updated
10/30/2025
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