Individual
LEANNE JESSUP SHOFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 BETHESDA CT, WINSTON SALEM, NC 27103-3019
(336) 277-6000
(336) 277-6001
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900217
NC
363LW0102X
Women's Health Nurse Practitioner
900217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005531
—
NC
Enumeration date
01/24/2006
Last updated
05/17/2022
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