Individual
JOHNNIE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
203 GROVE AVE, WASHINGTON GROVE, MD 20880-2040
(540) 247-9697
Mailing address
PO BOX 133, 203 GROVE AVE., WASHINGTON GROVE, MD 20880-0133
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001238171
VA
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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