Dr KASSIE CREWS SHOUP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
BAKER COMMUNITY HEALTH CENTER INC
159 N 3RD ST
MACCLENNY
FL
320632103
Tel: 9042593151
| Npi | 1578028478 |
| Pac Id | 8325387913 |
| Professional Enrollment Id | I20190226001156 |
| Last Name | SHOUP |
| First Name | KASSIE |
| Middle Name | CREWS |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | BAKER COMMUNITY HEALTH CENTER INC |
| Group Practice Pac Id | 3779689807 |
| Number Of Group Practice Members | 59 |
| Line 1 Street Address | 159 N 3RD ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MACCLENNY |
| State | FL |
| Zip Code | 320632103 |
| Phone Number | 9042593151 |
| Hospital Affiliation Ccn 1 | 100134 |
| Hospital Affiliation Lbn 1 | ED FRASER MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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