Jennifer Lynn Shull, NP

NPI #1780235622 in Malone, New York

Provider Information

NPI Number
1780235622
Entity Type
Individual
Name
Jennifer Lynn Shull, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
NP
Enumeration Date
Sep 23, 2019
Last Updated
Sep 23, 2019

Practice Location

Address
183 PARK ST
City
Malone
ZIP Code
12953-1242
Phone
(518) 481-2600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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