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JENNIFER DELL SHOEMAKE PPCNP-BC, CRNP
NPI 1801261771
Nurse Practitioner - Pediatrics in Maxwell Afb, AL

Active since December 03, 2015
42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760, MAXWELL AFB, AL 36112(334) 953-5143(334) 953-8607 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2024, Sep 12, 2019, Dec 3, 2015 (3 updates tracked since 2015).

About Jennifer Dell Shoemake Ppcnp-bc, Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DELL SHOEMAKE PPCNP-BC, CRNP (NPI 1801261771) is an individual pediatrics provider in Maxwell Afb, Alabama, licensed in Pennsylvania (SP015753) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1801261771
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNIFER DELL SHOEMAKECredential: PPCNP-BC, CRNP
Location Address42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760Maxwell Afb, AL 36112-6027
Mailing Address42d Medical Group, 300 South Twining St, Bldg 760Maxwell, AL 36112-6027 · (334) 953-5200 · Fax (334) 953-8607
Phone(334) 953-5143
Fax(334) 953-8607
Sole ProprietorNo
Enumeration DateDecember 3, 2015
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1801261771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in PA · SP015753
42D MEDICAL GROUP, Maxwell Afb, AL 36112
Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSS MICHAEL CANUP M.D.
Family Medicine
42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
DR. JUSTIN E SANDHOLM O.D.
Optometrist
42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760
MONTGOMERY, AL 36112
Montgomery County (334) 953-5200
KATLYN GORGUS
Military Health Care Provider (Independent Duty Medical Technicians)
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (580) 481-7082
DR. JOLYN INEZ TATUM PHD
Psychologist (Health)
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
MR. CHRISTOPHER W. KELLY FNP-C APRN, MSN, MSM
Nurse Practitioner (Family)
42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
RANDI HUGHEY LICSW
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-3368
MRS. SARAH MILLER LICSW
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
JOHN CAMPBELL JR.
Psychologist
42D MEDICAL GROUP, 300 TWINING STREET
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shoemake's NPI number?

The NPI number for Jennifer Shoemake is 1801261771. It was assigned to this individual provider in the NPPES registry on December 3, 2015.

Where is Jennifer Shoemake located?

Jennifer Shoemake practices at 42D Medical Group 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (334) 953-5143.

What is Jennifer Shoemake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jennifer Shoemake was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.