Individual provider · Type 1 NPI
Jennifer N/a McShane
Driver · Maumelle, AR
NPI number
1104662253
Active
Practice location
PO Box 13166
Maumelle, AR 72113-0166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1104662253
Jennifer N/a McShane's National Provider Identifier is 1104662253, issued on Jul 8, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Maumelle, AR. The record was last updated on Jul 8, 2024.