Individual
HEATHER SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
551 STATE ROUTE 788, JACKSON, OH 45640-8910
(740) 497-3945
Mailing address
551 STATE ROUTE 788, JACKSON, OH 45640-8910
(740) 497-3945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN.CNP.0039016
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0039016
OH
Other
Enumeration date
04/23/2025
Last updated
06/25/2025
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