Individual
MRS. JILL B. SHINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
212 ASHVILLE AVE, CARY, NC 27511-6669
(919) 859-1136
Mailing address
212 ASHVILLE AVE, CARY, NC 27511-6669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103784
NC
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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