Individual
JESSICA SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13620 CRAYTON BLVD STE B, HAGERSTOWN, MD 21742-2335
(240) 313-9890
Mailing address
13620 CRAYTON BLVD STE B, HAGERSTOWN, MD 21742-2335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010047
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2024
Last updated
07/25/2025
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