JENNIFER LYNN SHULL (NPI# 1801196852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801196852 |
Entity Type | Individual |
Full Name | JENNIFER LYNN SHULL |
Credential | ANP-BC |
Practice Address |
1383 W Hunter St Logan OH 43138-1013 |
Mailing Address |
Po Box 228 Logan OH 43138-0228 |
Practice Telephone | 7403850202 |
Practice Fax Number | 7403802734 |
Mailing Telephone | 7403850202 |
Mailing Fax Number | 7403802734 |
Enumeration Date | 2010-10-25 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA 11967-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 3152725 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356529077 | Jennifer Shull | Occupational Therapist | 4074 Palm Pl, Weston, FL 33331-5035 | 2008-02-05 |
1780235622 | Jennifer Lynn Shull | Nurse Practitioner | 183 Park St, Malone, NY 12953-1242 | 2019-09-23 |
1912381534 | Jennifer Shull | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2015-07-14 |
1225382443 | Jennifer Michelle Shull | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
Street Address |
1383 W HUNTER ST |
City | LOGAN |
State | OH |
Zip Code | 43138-1013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053303297 | Mark J Scarmack | Pediatrics | 1383 W Hunter St, Logan, OH 43138-1013 | 2005-08-15 |
1417555087 | Hocking Valley Medical Group Transportation | Non-emergency Medical Transport (VAN) | 1383 W Hunter St, Logan, OH 43138 | 2020-10-15 |
1962059741 | Hocking Valley Community Hospital | Clinic/Center | 1383 W Hunter St, Logan, OH 43138-1013 | 2019-08-26 |
1073991014 | Amanda Downs Davis | Nurse Practitioner | 1383 W Hunter St, Logan, OH 43138-1013 | 2015-05-11 |
1447652110 | Fallon Magdich-ritchey | Nurse Practitioner | 1383 W Hunter St, Logan, OH 43138-1013 | 2014-09-24 |
1255695383 | Leonard Justin Wheeler | Social Worker | 1383 W Hunter St, Logan, OH 43138-1013 | 2012-07-03 |
1356402341 | Chelsea Louella Fitzgerald | Social Worker | 1383 W Hunter St, Logan, OH 43138-1013 | 2006-12-13 |
1629189311 | Charles Robert Keller | Family Medicine | 1383 W Hunter St, Logan, OH 43138-1013 | 2006-08-31 |
1205857257 | Brian L Still | Family Medicine | 1383 W Hunter St, Logan, OH 43138-1013 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
Find all providers in zip 43138 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
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1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.