Organization
FAMILY CARE CLINICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T SHUFFITT ARNP (OWNER/PRESIDENT)
(270) 228-4152
Entity
Organization
Contact information
Practice address
734 DENALI ST, BOWLING GREEN, KY 42101-4432
(270) 228-4152
(270) 228-4153
Mailing address
734 DENALI ST, BOWLING GREEN, KY 42101-4432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/28/2010
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