Individual provider · Type 1 NPI

Sasha L. Shumpert

Nurse Practitioner · Columbia City, IN

NPI number 1467959692 Active

Practice location

1270 E State Road 205 Ste 150
Columbia City, IN 46725-8505

Fax (260) 248-9895

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71008019A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467959692

Sasha L. Shumpert's National Provider Identifier is 1467959692, issued on Apr 13, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia City, IN. The record was last updated on Oct 3, 2022.