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NPI Code Detail

MEDICARE: JENNIFER SHAFFER

MEDICARE:   JENNIFER  SHAFFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care ProviderVA

General Provider Information

NPI Number : 1164063764
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SHAFFER
Provider Business Mailing Address
First Line : 3523 JACKSON FARM RD
Second Line :
City : HOPEWELL
State : VA
Zip : 23860-4004
Country : US
Telephone Number : 804-536-5012
Fax Number :
Provider Business Practice Location Address
First Line : 3523 JACKSON FARM RD
Second Line :
City : HOPEWELL
State : VA
Zip : 23860-4004
Country : US
Telephone Number : 804-536-5012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2019
Last Update Date : 10/04/2019

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Directions to “ JENNIFER SHAFFER ” Practice Location

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