Individual
JENNIFER LYNN SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 ELON RD, MADISON HEIGHTS, VA 24572-2536
(434) 455-2480
Mailing address
6035 ELON RD, MONROE, VA 24574-3162
(434) 944-5839
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024178160
VA
Other
Enumeration date
09/02/2019
Last updated
05/13/2024
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