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Contact Information

JENNIFER M SHUPE, MD
910 E HOUSTON ST
STE 330
TYLER, TX75702-8369
 Phone: 903-510-8848
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JENNIFER M SHUPE · (Female)

NPI Number 1982751798
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 04/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # N6024
  • TX Medicaid 214783701
  • TX Other 8V3858 BCBS
  • TX Other 752616977095 TRICARE
  • TX Other TIN PLUS 052 TRICARE
Hospital affiliation(s)
  • GOOD SHEPHERD MEDICAL CENTER MARSHALL - (Acute Care)
    811 S WASHINGTON
    MARSHALL, TX 75670
  • MOTHER FRANCES HOSPITAL - (Acute Care)
    800 EAST DAWSON
    TYLER, TX 75701
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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