Individual
EVELYNNE DIANE SHUMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MSN, FNP
Contact information
Practice address
5900 GARNERS FERRY RD, COLUMBIA, SC 29209-1301
(803) 695-5450
(803) 695-5469
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F915
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0366
—
SC
Enumeration date
05/25/2006
Last updated
04/06/2018
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