| Jennifer Lynn Shull, ANP-BC | |
|
1383 W Hunter St, Logan, OH 43138-1013 | |
| (740) 385-0202 | |
| (740) 380-2734 |
| Full Name | Jennifer Lynn Shull |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 1383 W Hunter St, Logan, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801196852 | NPI | - | NPPES |
| 3152725 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | COA 11967-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hocking Valley Community Hospital | Logan, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hocking Valley Medical Group, Inc. | 0345238622 | 17 |
| Entity Name | Hocking Valley Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801994827 PECOS PAC ID: 0345238622 Enrollment ID: O20040505000146 |
| Entity Name | Hocking Valley Community Hospital |
|---|---|
| Entity Type | Part A Provider - Rural Health Clinic |
| Entity Identifiers | NPI Number: 1962059741 PECOS PAC ID: 7810896735 Enrollment ID: O20190918001235 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Shull, ANP-BC Po Box 228, Logan, OH 43138-0228 Ph: (740) 385-0202 | Jennifer Lynn Shull, ANP-BC 1383 W Hunter St, Logan, OH 43138-1013 Ph: (740) 385-0202 |
Mrs. Amy L Black, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3750 | |
Holly Christine Smith, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Amanda Downs Davis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 Fax: 740-380-2734 | |
Kaitlin E. Angle, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Brett Wilson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 State Route 664 N, Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-380-0852 | |
Patrick Howe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 Sr 664 N Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-774-6617 | |
Bethany Ann Jagers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3730 |