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1558600221
JACKIE ROSE SHUMATE
MONTGOMERY, AL
NPI
1558600221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-122477)
Enumeration Date
2013-01-31
Last Update Date
2019-01-09
Business Address
Mrs. JACKIE ROSE SHUMATE NP-C
4126 CARMICHAEL CT
MONTGOMERY, AL 36106
Phone number: 334-495-2600
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Mailing Address
Mrs. JACKIE ROSE SHUMATE NP-C
4126 CARMICHAEL CT
MONTGOMERY, AL 36106-2871
Phone number: 334-495-2600
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