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Individual

JESSICA LEE SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
313 WESTERN BLVD STE F, GREENWOOD, IN 46142-9217
(317) 708-0798
Mailing address
313 WESTERN BLVD STE F, GREENWOOD, IN 46142-9217
(317) 708-0798

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28185492A
IN
363L00000X
Nurse Practitioner
Primary
71008066A
IN

Other

Enumeration date
01/18/2018
Last updated
09/13/2024
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