Individual provider · Type 1 NPI

Kathleen Jones-Shupe

Psychiatric/Mental Health Nurse Practitioner · Leesburg, FL

NPI number 1346261104 Active

Practice location

101 S 11th St, SUITE1
Leesburg, FL 34748-5767

Fax (352) 360-6582

Mailing address

PO Box 491000
Leesburg, FL 34749-1000

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XARNP 699792 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1346261104

Kathleen Jones-Shupe's National Provider Identifier is 1346261104, issued on Jul 21, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Leesburg, FL. The record was last updated on Apr 11, 2008.