Individual
MRS. JENNIFER SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 OLD WAYNESVILLE RD, JESUP, GA 31546-3767
(912) 294-1054
Mailing address
280 OLD WAYNESVILLE RD, JESUP, GA 31546-3767
(912) 294-1054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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