Individual
MRS. JENNIFER MARIE SHOPINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNM, IBCLC
Contact information
Practice address
202 W JACKSON ST, CARBONDALE, IL 62901-1409
(618) 457-0465
(618) 457-8022
Mailing address
3230 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-5950
(618) 997-5266
(618) 997-5285
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.010405
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370966854017
—
IL
01
—
CF3444
MEDICARE RAILROAD
IL
Enumeration date
11/22/2013
Last updated
06/11/2020
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