Jeraldene Shaffer in Crete - Nurse Practitioner
Jeraldene Shaffer - NPI 1831120104
Jeraldene Shaffer is a Nurse Practitioner in Crete, Illinois. Jeraldene Shaffer practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jeraldene Shaffer is 1831120104. The last update date is 2007-07-08.
Jeraldene Shaffer's current location address is 2354 W Norfolk Rd, Crete, Illinois. You can contact this provider via phone number 7087482260. The mailing address for Jeraldene Shaffer is 2354 W Norfolk Rd, Crete, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeraldene Shaffer |
|---|---|
| Address | 2354 W Norfolk Rd, Crete, Illinois |
| Phone Number | 7087482260 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1831120104 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2354 W Norfolk Rd |
|---|---|
| City | Crete |
| State | Illinois (IL) |
| Post Code | 604179788 |
| Phone Number | 7087482260 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Jeraldene Shaffer by the Centers for Medicare & Medicaid Services (CMS)?
The Jeraldene Shaffer has been assigned the NPI (National Provider Identifier) 1831120104. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jeraldene Shaffer?
The Jeraldene Shaffer is situated at 2354 W Norfolk Rd, in the city of Crete, state of IL, with the zip code 604179788.
What is Jeraldene Shaffer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeraldene Shaffer is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831120104 to Jeraldene Shaffer?
The Centers for Medicare & Medicaid Services originally issued the 1831120104 to Jeraldene Shaffer on 2006-07-05.
When was the information pertaining to Jeraldene Shaffer most recently updated or revised?
The details related to Jeraldene Shaffer, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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