Individual
MRS. JACKIE ROSE SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4126 CARMICHAEL CT, MONTGOMERY, AL 36106
(334) 495-2600
(334) 495-2604
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-122477
AL
Other
Enumeration date
01/31/2013
Last updated
01/02/2026
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