MRS. JERRA LEIGH SHUFF FNP-BC NPI 1265705909

NPI Information

  • NPI: 1265705909
  • Provider Name: MRS. JERRA LEIGH SHUFF, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 645 KANAWHA AVE
    RAINELLE, WV
    ZIP 25962
  • Phone: (304) 438-6188

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NPI Details

MRS. Jerra Leigh Shuff, FNP-BC is a family nurse practitioner in Rainelle, WV with 14 years of experience. MRS. Jerra Leigh Shuff, FNP-BC NPI is 1265705909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

645 KANAWHA AVE
RAINELLE, WV
ZIP 25962-013
Phone: (304) 438-6188
Fax: (304) 438-6819

The NPI 1265705909 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2012 and was last updated on 9/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily61894WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810023074MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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