Individual
MS. JANE E MEISSE SHUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, VAMC, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
64 MCKAY RD, HUNTINGTON STATION, NY 11746-1315
(631) 673-4753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
400279-1
NY
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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