Individual
JESSICA SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
3009 WINSTON DR APT 95, BURLINGTON, NC 27215-9196
(336) 212-7005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013522
NC
363LA2100X
Acute Care Nurse Practitioner
5013522
NC
Other
Enumeration date
09/09/2020
Last updated
07/21/2021
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