JENNIFER G SHOUP (NPI# 1962793059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962793059 |
| Entity Type | Individual |
| Full Name | JENNIFER G SHOUP |
| Credential | CRNP |
| Practice Address |
5039 Swamp Rd Suite 401 Fountainville PA 18923-9667 |
| Mailing Address |
5039 Swamp Road Suite 401 Fountainville PA 18923 |
| Practice Telephone | 2152308380 |
| Practice Fax Number | 2152308370 |
| Mailing Telephone | 2152308380 |
| Mailing Fax Number | 2152308370 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP011318 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104322643 | Jennifer Elizabeth Shoup | Physical Therapist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2018-04-03 |
| 1487960878 | Jennifer Carol Shoup | Physician Assistant | 1802 S Union Ave, Suite 200, Tacoma, WA 98405-1947 | 2010-08-24 |
| Street Address |
5039 SWAMP RD SUITE 401 |
| City | FOUNTAINVILLE |
| State | PA |
| Zip Code | 18923-9667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457374183 | Jack Mcewan | Family Medicine | 5039 Swamp Rd, Suite 401, Fountainville, PA 18923-9667 | 2006-07-25 |
| 1629458518 | New Start Medical, LLC | Internal Medicine | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2015-06-04 |
| 1841598240 | Rene Curry | Nurse Practitioner | 5039 Swamp Rd, Suite 401, Fountainville, PA 18923-9667 | 2011-03-09 |
| 1780986471 | James Gerard Meehan | Nurse Anesthetist, Certified Registered | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2010-12-01 |
| 1659602746 | Kathleen B Tapper | Nurse Anesthetist, Certified Registered | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2010-01-29 |
| 1104157759 | Steven M. Hartwick | Nurse Anesthetist, Certified Registered | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2010-01-21 |
| 1295062362 | Randall A Crownover | Nurse Anesthetist, Certified Registered | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2009-11-11 |
| 1437399953 | Nicola D. Disandro | Nurse Anesthetist, Certified Registered | 5039 Swamp Rd, 406, Fountainville, PA 18923-9667 | 2009-02-24 |
| 1962662981 | Diana Pallin | Internal Medicine | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2008-06-12 |
| 1336322957 | Lee M Mcnair | Nurse Anesthetist, Certified Registered | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2007-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477847135 | Catherine Anne Leone | Physical Therapy Assistant | 202 Pipers Inn Drive, Fountainville, PA 18923 | 2011-05-30 |
| 1568633378 | Alan M Ference | Dentist | 5055 Swamp Road, Suite 202, Fountainville, PA 18923 | 2008-03-19 |
| 1639129976 | Joanne E Connell | Internal Medicine | 1456 Ferry Road, Suite 600, Fountainville, PA 18923 | 2006-05-10 |
| 1730181595 | Alan I Abramowitz | Internal Medicine | 5039 Swamp Road, Suite 401, Fountainville, PA 18923 | 2005-08-11 |
| 1760997563 | Tara Lynn Verdolini | Nurse Practitioner | 1456 Ferry Road, Suite 600, Fountainville, PA 18923 | 2017-12-04 |
| 1699296749 | Margaret Welch | Nurse Practitioner | 5039 Swamp Rd Ste 401, Fountainville, PA 18923 | 2017-06-29 |
| 1295821692 | Melissa A Taylor | Internal Medicine | 5039 Swamp Road, Suite 401, Fountainville, PA 18923 | 2006-10-04 |
| 1447454988 | Daniel James Green | Dentist | Pa Route 313, Suite 105, Fountainville, PA 18923-0175 | 2007-06-11 |
| 1649630815 | Katherine Marie West Mohr | Nurse Practitioner | 5039 Swamp Rd Ste 401, Fountainville, PA 18923-0417 | 2016-03-02 |
| 1265495287 | Robert Edward Rinaldi | Pediatrics | 5045 Swamp Rd, Suite#103, Fountainville, PA 18923-6000 | 2006-04-10 |
| Find all providers in zip 18923 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699296749 | Margaret Welch | Nurse Practitioner | 5039 Swamp Rd Ste 401, Fountainville, PA 18923 | 2017-06-29 |
| 1841598240 | Rene Curry | Nurse Practitioner | 5039 Swamp Rd, Suite 401, Fountainville, PA 18923-9667 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
| 1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
| 1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
| 1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
| 1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAINVILLE |
| Zip Code | 18923 |
Please comment or provide details below to improve the information on JENNIFER G SHOUP.
| 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.