Johnny R Shupe, APRN Valid NPI

Individual provider · Family Nurse Practitioner · Duffield, VA

NPI

1659495356

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

0024151769 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-19

Last updated

2009-08-12