Individual
JANESSA LAUREN SHAINLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(717) 380-6698
Mailing address
611 WAGNER RD, LAFAYETTE HILL, PA 19444-2024
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
CNS000355
PA
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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