Individual
MRS. STEPHANIE MICHELLE SHUSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN
Contact information
Practice address
1317 S MAIN RD, UNIT 2C, VINELAND, NJ 08360-6511
(856) 213-6080
(856) 213-6092
Mailing address
1317 S MAIN RD, UNIT 2C, VINELAND, NJ 08360-6511
(856) 213-6080
(856) 213-6092
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00167900
NJ
Other
Enumeration date
08/15/2008
Last updated
06/24/2015
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