Individual
JENNIFER LYNN SHACKLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 TUB RUN HOLLOW RD, HEDGESVILLE, WV 25427-6557
(540) 532-2437
Mailing address
332 TUB RUN HOLLOW RD, HEDGESVILLE, WV 25427-6557
(540) 532-2437
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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