Shoffner, Leanne Jessup
Shoffner, Leanne Jessup is an individual health care provider with primary practice located at 1010 Bethesda Ct , Winston Salem NC 27103-3019. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shoffner, Leanne Jessup can be contacted via phone (336) 277-6000.Contact Information
Primary practice address
1010 Bethesda Ct
Winston Salem NC 27103-3019
Phone: (336) 277-6000
Fax: (336) 277-6001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 900217 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 900217 | North Carolina |
Profile Details
| NPI number | 1982674800 |
|---|---|
| LBN Legal business name | Shoffner, Leanne Jessup |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | May 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982674800 | NPPES |
| North Carolina | MEDICAID | 7005531 |
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