Provider Demographics
NPI:1093487514
Name:SHEMPER, SUSAN MULLEN (DNP, BSN, RN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MULLEN
Last Name:SHEMPER
Suffix:
Gender:F
Credentials:DNP, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ABBEYWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402
Mailing Address - Country:US
Mailing Address - Phone:601-270-5717
Mailing Address - Fax:
Practice Address - Street 1:11 ABBEYWOOD LANE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-3940
Practice Address - Country:US
Practice Address - Phone:601-270-5717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-03
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program