Individual
MANDY SUZANNE ELLER SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1919 W PARK DR, NORTH WILKESBORO, NC 28659-3564
(336) 651-2980
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 651-2980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018407
NC
Other
Enumeration date
07/06/2023
Last updated
01/20/2026
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