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Jeremy Marquez Shinholster

Nurse Practitioner, Family in Macon, GA. Individual provider (NPI-1).

NPI number1013679968
StatusActive
Last updated in NPPESOct 29, 2025

Details

NPI
1013679968
Entity type
Individual (NPI-1)
Name
Jeremy Marquez Shinholster
Sex
Male
Sole proprietor
No
Enumeration date
Oct 7, 2021
Certification date
Oct 29, 2025
Last updated
Oct 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN-NP258849GAYes

Practice location

124 3rd St
Macon, GA 31201-3404

Phone 478-751-2900

Mailing address

124 3rd St
Macon, GA 31201-3404

Phone 478-751-2900

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