National Provider Identifier Database

JENNIFER M SHUPE, MD – NPI #1982751798
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

JENNIFER M SHUPE, MD
910 E HOUSTON ST
STE 330
TYLER, TX75702-8369
Phone: 903-510-8848
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Neuromuscular Medicine 2081N0008X

* Indicates primary specialty

NPI Profile & details for JENNIFER M SHUPE

NPI Number 1982751798
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 04/01/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • TX License #: N6024
  • TX Medicaid: 214783701
  • TX Other: 8V3858 BCBS
  • TX Other: 752616977095 TRICARE
  • TX Other: TIN PLUS 052 TRICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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