JACKIE ROSE SHUMATE

MONTGOMERY, AL
NPI1558600221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-122477)
Enumeration Date2013-01-31
Last Update Date2019-01-09
Business Address
Mrs. JACKIE ROSE SHUMATE NP-C
4126 CARMICHAEL CT
MONTGOMERY, AL 36106
Phone number: 334-495-2600
Mailing Address
Mrs. JACKIE ROSE SHUMATE NP-C
4126 CARMICHAEL CT
MONTGOMERY, AL 36106-2871
Phone number: 334-495-2600