Individual
JENNIFER N SHINNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
71 U.S. ROUTE ONE, SUITE A, ELEVATION CENTER, SCARBOROUGH, ME 04074-9375
(207) 885-8400
(207) 885-8499
Mailing address
71 U.S. ROUTE ONE, SUITE A, ELEVATION CENTER, SCARBOROUGH, ME 04074-9375
(207) 885-8400
(207) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017424
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117580000
—
ME
Enumeration date
05/15/2007
Last updated
01/16/2013
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