Jennifer Shaffer
Technician, Attendant Care Provider in Hopewell, VA. Individual provider (NPI-1).
NPI number1164063764
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1164063764
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Shaffer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2019
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | VA | Yes |
Practice location
3523 Jackson Farm RdHopewell, VA 23860-4004
Phone 804-536-5012
Mailing address
3523 Jackson Farm RdHopewell, VA 23860-4004
Phone 804-536-5012
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