Individual
JENNIFER SHAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 PENNSWICK DR, DOWNINGTOWN, PA 19335-4922
(610) 496-8927
Mailing address
29 PENNSWICK DR, DOWNINGTOWN, PA 19335-4922
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN598471
PA
163WH0200X
Home Health Registered Nurse
RN598471
PA
163WM0705X
Medical-Surgical Registered Nurse
RN598471
PA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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