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Jennifer Lynn Shull, NP
Pediatric Nurse Practitioner in Malone, New York
NPI 1780235622

Jennifer Lynn Shull is a Pediatric Nurse Practitioner based in Malone, NY and is specialized in Pediatrics. Jennifer Lynn Shull practices in Malone, NY and has the professional credentials of NP. The NPI Number for Jennifer Lynn Shull is 1780235622 and holds a License No. 383051 (New York).

The current practice location address for Jennifer Lynn Shull is 183 Park St, Malone, NY and can be reached out via phone at 518-481-2600.

Location: 183 Park St, Malone, NY, 12953-1242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780235622
Provider Name
Jennifer Lynn Shull
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
183 Park St, Malone, NY, 12953-1242
Phone Number
518-481-2600
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
183 Park St
City
Malone
State
New York
Zip
12953-1242
Phone Number
518-481-2600
Fax Number
person
Provider Business Mailing Address Details
Address
183 Park St
City
Malone
State
New York
Zip
12953-1242
Phone Number
518-481-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
383051 (New York)
Definition
Definition to come...
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