Jennifer G Shoup, CRNP | |
5039 Swamp Rd, Suite 401, Fountainville, PA 18923-9667 | |
(215) 230-8380 | |
(215) 230-8370 |
Full Name | Jennifer G Shoup |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 5039 Swamp Rd, Fountainville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962793059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | SP011318 (Pennsylvania) | Primary |
Entity Name | Peace Valley Internal Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578658928 PECOS PAC ID: 8224018569 Enrollment ID: O20040726000711 |
Mailing Address | Practice Location Address |
---|---|
Jennifer G Shoup, CRNP 5039 Swamp Road, Suite 401, Fountainville, PA 18923 Ph: (215) 230-8380 | Jennifer G Shoup, CRNP 5039 Swamp Rd, Suite 401, Fountainville, PA 18923-9667 Ph: (215) 230-8380 |
Mrs. Katherine Marie West Mohr, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 | |
Tatiana Kisluk, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370 | |
Rachel Im, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 406, Fountainville, PA 18923 Phone: 267-454-7147 | |
Margaret Welch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 | |
Diane Blackman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370 | |
Tara Lynn Verdolini, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1456 Ferry Road, Suite 600, Fountainville, PA 18923 Phone: 215-230-8390 Fax: 215-230-8392 | |
Rene Curry, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd, Suite 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370 |