Individual
JACOB SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
1035 W WAYNE ST, PAULDING, OH 45879-1544
(800) 741-1743
Mailing address
7038 COUNTY ROAD 424, ANTWERP, OH 45813-9520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021349
OH
Other
Enumeration date
07/25/2017
Last updated
12/14/2020
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