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Individual

DR. JASON T SHUFFITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
1212 ASHLEY CIR, SUITE 5, BOWLING GREEN, KY 42104-5821
(270) 228-0992
(270) 854-1835
Mailing address
1212 ASHLEY CIR, SUITE 5, BOWLING GREEN, KY 42104-5821
(270) 228-0992
(270) 854-1835

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005814
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100037790
KY
Enumeration date
06/11/2008
Last updated
09/01/2016
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