Shoffner, Leanne Jessup

Shoffner, Leanne Jessup is an individual health care provider with primary practice located at 1010 Bethesda Ct , Winston Salem NC 27103-3019. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shoffner, Leanne Jessup can be contacted via phone (336) 277-6000.

Contact Information

Primary practice address
1010 Bethesda Ct Winston Salem NC 27103-3019
Phone: (336) 277-6000
Fax: (336) 277-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 900217 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 900217 North Carolina

Profile Details

NPI number 1982674800
LBN Legal business name Shoffner, Leanne Jessup
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated May 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982674800 NPPES
North Carolina MEDICAID 7005531

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