Individual provider · Type 1 NPI
Johnny R. Shupe, APRN
Family Nurse Practitioner · Duffield, VA
NPI number
1659495356
Active
Practice location
373 Cecil D Quillen Dr, Suite 101
Duffield, VA 24244-4085
Fax (276) 431-1639
Mailing address
3609 Hemlock Park Dr
Kingsport, TN 37663-2063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024151769 (VA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Duffield
About NPI 1659495356
Johnny R. Shupe, APRN's National Provider Identifier is 1659495356, issued on Mar 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Duffield, VA. The record was last updated on Aug 12, 2009.