person
Johnny R Shupe, APRN
Family Nurse Practitioner in Duffield, Virginia
NPI 1659495356

Johnny R Shupe is a Family Nurse Practitioner based in Kingsport, VA and is specialized in Family. Johnny R Shupe practices in Duffield, VA and has the professional credentials of APRN. The NPI Number for Johnny R Shupe is 1659495356 and holds a License No. 0024151769 (Virginia).

The current practice location address for Johnny R Shupe is 373 Cecil D Quillen Dr, Duffield, VA and can be reached out via phone at 276-431-1638 and via fax at 276-431-1639.

Location: 373 Cecil D Quillen Dr, Duffield, VA, 37663-2063
person
Provider Profile Details
NPI Number
1659495356
Provider Name
Johnny R Shupe
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
373 Cecil D Quillen Dr, Duffield, VA, 37663-2063
Phone Number
276-431-1638
Fax Number
276-431-1639
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007790741 05 VA
institution
Provider Business Practice Location Address Details
Address
373 Cecil D Quillen Dr
City
State
Zip
24244-4085
Phone Number
276-431-1638
Fax Number
276-431-1639
person
Provider Business Mailing Address Details
Address
373 Cecil D Quillen Dr
City
State
Zip
24244-4085
Phone Number
276-431-1638
Fax Number
276-431-1639
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024151769 (Virginia)
Definition
Definition to come...
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