Individual
MRS. JENNIFER ANN SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN CPNP-PC
Contact information
Practice address
3333 W TECH RD, MIAMISBURG, OH 45342-0955
(937) 641-3600
(937) 641-5802
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.13243
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA 13243-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114972
—
OH
Enumeration date
09/08/2014
Last updated
02/19/2026
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