Individual
JANA SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CONGRESS ST, QUINCY, MA 02169-0908
(508) 524-0497
Mailing address
500 CONGRESS ST, QUINCY, MA 02169-0908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN270635
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN270635
MA
Other
Enumeration date
08/14/2023
Last updated
05/27/2024
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