Individual
JEANETTE SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1430 WILLOW LN, WEST PARK C61-2, N WILKESBORO, NC 28659-3551
(336) 667-5151
Mailing address
284 EXECUTIVE PARK DR., SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233047
NC
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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