JOHNNY R SHUPE

DUFFIELD, VA
NPI1659495356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024151769)
Enumeration Date2007-03-19
Last Update Date2009-08-12
Business Address
-- JOHNNY R SHUPE APRN
373 CECIL D QUILLEN DR SUITE 101
DUFFIELD, VA 24244-4085
Phone number: 276-431-1638
Mailing Address
-- JOHNNY R SHUPE APRN
3609 HEMLOCK PARK DR
KINGSPORT, TN 37663-2063
Phone number: 423-239-3431