Shoemake, Jennifer Dell

Shoemake, Jennifer Dell is an individual health care provider with primary practice located at 42D Medical Group 300 S. Twining St. Bldg 760, Maxwell Afb AL 36112-6027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shoemake, Jennifer Dell can be contacted via phone (334) 953-5143.

Contact Information

Primary practice address
42D Medical Group 300 S. Twining St. Bldg 760 Maxwell Afb AL 36112-6027
Phone: (334) 953-5143
Fax: (334) 953-8607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP015753 Pennsylvania

Profile Details

NPI number 1801261771
LBN Legal business name Shoemake, Jennifer Dell
Credentials PPCNP-BC, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2015
Last updated Jul 16th, 2024 - about 2 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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