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Individual

MRS. JEANNE M. SHOULDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1097 OAK STREET, INDIANA, PA 15701
(724) 349-2022
(724) 349-8735
Mailing address
901 MAPLE ST, SUITES ON MAPLE EAST, SUITE G-65, INDIANA, PA 15705-1074
(724) 357-2550
(724) 357-6212

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN522348L
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP008108
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1991407
HIGHMARK
PA
01
MC1584937
HIGHMARK
PA
Enumeration date
04/19/2006
Last updated
01/13/2015
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