Individual
MRS. JORI LYNNE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8401 HIGHWAY 111, BYRDSTOWN, TN 38549
(931) 864-3187
(931) 864-7102
Mailing address
8401 HIGHWAY 111, BYRDSTOWN, TN 38549-6031
(931) 864-3187
(931) 864-7102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3873889
—
TN
Enumeration date
08/19/2005
Last updated
07/09/2018
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