Individual provider · Type 1 NPI

Jackie Rose Shumate, NP-C

Family Nurse Practitioner · Montgomery, AL

NPI number 1558600221 Active

Practice location

4126 Carmichael Ct
Montgomery, AL 36106

Fax (334) 495-2604

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-122477 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1558600221

Jackie Rose Shumate, NP-C's National Provider Identifier is 1558600221, issued on Jan 31, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montgomery, AL. The record was last updated on Jan 2, 2026.