| Doctor Name: | DR. JASON T SHUFFITT |
| NPI Number: | 1265692438 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP, APRN, FNP-BC |
| License Number: | 3005814 |
| Business Practice Address: | 466 Burnley Rd Scottsville, KY - 421646355 |
| Business Phone Number: | 2706183700 |
| Business Fax Number: | 2706183772 |
| Mailing Address: | Po Box 3560, BOWLING GREEN |
| State: | KY |
| Postal Code: | 421023560 |
| Phone Number: | 2707451100 |
| Fax Number: | 2707451156 |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 02/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3005814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |