Shambaugh, Jennifer
Shambaugh, Jennifer is an individual health care provider with primary practice located at 2700 Lafayette St Ste B-10, Fort Wayne IN 46806-1100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shambaugh, Jennifer can be contacted via phone (260) 744-7004.Contact Information
Primary practice address
2700 Lafayette St Ste B-10
Fort Wayne IN 46806-1100
Phone: (260) 744-7004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002009A | Indiana |
Profile Details
| NPI number | 1053377606 |
|---|---|
| LBN Legal business name | Shambaugh, Jennifer |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Feb 21st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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