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Contact Information

JEANNELLE M SHAVER, RPA
102 PARK STREET PRYUN PAVILIOIN AT GLENS FALLS HOSPITAL
THE VASCULAR GROUP PLLC
GLENS FALLS, NY12801
 Phone: 518-792-7122
 Fax: 518-792-3800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEANNELLE M SHAVER · (Female)

NPI # 1225007347
Status Active
Credentials RPA
Entity Individual
Enumeration date 03/14/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 007337
  • NY Medicaid 02341202
Hospital affiliation(s)
  • GLENS FALLS HOSPITAL - (Acute Care)
    100 PARK STREET
    GLENS FALLS, NY 12801
  • SARATOGA HOSPITAL - (Acute Care)
    211 CHURCH STREET
    SARATOGA SPRINGS, NY 12866
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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