Individual
MRS. JENNIFER HENDRIX SHUPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
627 N MAIN ST, WAYNESVILLE, NC 28786-3819
(828) 456-2784
(828) 456-8903
Mailing address
94 ROYAL CREST HTS, WAYNESVILLE, NC 28786-2044
(828) 456-4231
(828) 454-5288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101981
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102081
UNITED HEALTH CARE
NC
01
—
C2593
MEDCOST
NC
Enumeration date
06/30/2006
Last updated
02/25/2009
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