Individual
KATHLEEN JONES-SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S 11TH ST, SUITE1, LEESBURG, FL 34748-5767
(352) 315-7500
(352) 360-6582
Mailing address
PO BOX 491000, LEESBURG, FL 34749-1000
(352) 315-7500
(352) 360-6585
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP 699792
FL
Other
Enumeration date
07/21/2006
Last updated
04/11/2008
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