Jennifer Shafer (NPI# 1134313265, PAC ID# 4688850381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134313265 |
| PAC ID by PECOS | 4688850381 |
| Professional Enrollment ID | I20110513000429 |
| Full Name | Jennifer Shafer |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Address |
2033 Meadowview Ln Suite 200 Kingsport TN 37660-7432 |
| Phone Number | 4238572260 |
| Gender | F |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8224935754 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 | 4238572260 | HOLSTON MEDICAL GROUP PC |
| 1754 Us Hwy 23 N, Weber City, VA 24290-7071 | 2763865980 | HOLSTON MEDICAL GROUP PC |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Physicians | 239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Axelrad | Family Medicine | Holston Medical Group PC | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 |
| Jeffrey Richard Many | Family Medicine | Holston Medical Group PC | 275 N Nc 16 Business Hwy, Suite 103, Denver, NC 28037-3008 |
| Connie Rutledge | Nurse Practitioner | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Brandi N Adams | Obstetrics/gynecology | Holston Medical Group PC | 10826 Mallard Creek Rd, Suite 200, Charlotte, NC 28262-9725 |
| Kevin Wess | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Shannon M Butler | Nurse Practitioner | Holston Medical Group PC | 9611 Sherrill Estates Rd, Suite B, Huntersville, NC 28078-6485 |
| Julie M Wentz | Family Medicine | Holston Medical Group PC | 9816 Sam Furr Rd, Suite 101, Huntersville, NC 28078-5042 |
| Kenyon L Draper | Nurse Practitioner | Holston Medical Group PC | 3500 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8644 |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Viorel Manole | Internal Medicine | Holston Medical Group PC | 406 E Main Blvd, Church Hill, TN 37642-3405 |
| Street Address |
2033 MEADOWVIEW LN SUITE 200 |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-7432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandie N Nichols | Nurse Practitioner | Holston Medical Group PC | 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 |
| Sharan Kumar Kanakiriya | Nephrology | Holston Medical Group PC | 2033 Meadowview Ln, Suite 110, Kingsport, TN 37660-7569 |
| Parvati Daram Ananthula | Family Medicine | Holston Medical Group PC | 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 |
| Kathryn Backus | Nurse Practitioner | Holston Medical Group PC | 2033 Meadowview Ln, Kingsport, TN 37660-7432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINGSPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer Shafer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.