Individual
JENNIFER DELL SHOEMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCNP-BC, CRNP
Contact information
Practice address
42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5143
(334) 953-8607
Mailing address
42D MEDICAL GROUP, 300 SOUTH TWINING ST, BLDG 760, MAXWELL, AL 36112-6027
(334) 953-5200
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP015753
PA
Other
Enumeration date
12/03/2015
Last updated
07/16/2024
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