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Jennifer Anne Shattuck, NP
Family Nurse Practitioner in Johnson City, New York
NPI 1023032729

Jennifer Anne Shattuck is a Family Nurse Practitioner based in Johnson City, NY and is specialized in Family. Jennifer Anne Shattuck practices in Johnson City, NY and has the professional credentials of NP. The NPI Number for Jennifer Anne Shattuck is 1023032729 and holds a License No. 334772 (New York).

The current practice location address for Jennifer Anne Shattuck is 260 Riverside Dr, Johnson City, NY and can be reached out via phone at 607-798-7811.

Location: 260 Riverside Dr, Johnson City, NY, 13790-2745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023032729
Provider Name
Jennifer Anne Shattuck
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
260 Riverside Dr, Johnson City, NY, 13790-2745
Phone Number
607-798-7811
Fax Number
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02742863 05 NY
institution
Provider Business Practice Location Address Details
Address
260 Riverside Dr
City
Johnson City
State
New York
Zip
13790-2745
Phone Number
607-798-7811
Fax Number
person
Provider Business Mailing Address Details
Address
260 Riverside Dr
City
Johnson City
State
New York
Zip
13790-2745
Phone Number
607-798-7811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
334772 (New York)
Definition
Definition to come...
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