Shook, Jennifer A

Shook, Jennifer A is an sole proprietor health care provider with primary practice located at 3333 W Tech Rd , Miamisburg OH 45342-0955. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shook, Jennifer A can be contacted via phone (937) 641-3600.

Contact Information

Primary practice address
3333 W Tech Rd Miamisburg OH 45342-0955
Phone: (937) 641-3600
Fax: (937) 641-5802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X COA 13243-NP Ohio

Profile Details

NPI number 1790186823
LBN Legal business name Shook, Jennifer A
Credentials MSN, RN CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2014
Last updated Jun 5th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790186823 NPPES
Ohio MEDICAID 0114972

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