Provider Demographics
NPI:1124008776
Name:SHIMKUS, JEANETTE FRANCES CHRISTINA (DO)
Entity Type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:FRANCES CHRISTINA
Last Name:SHIMKUS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:801 GREENBRIER PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3822
Mailing Address - Country:US
Mailing Address - Phone:757-819-7547
Mailing Address - Fax:757-842-6570
Practice Address - Street 1:801 GREENBRIER PKWY STE B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3822
Practice Address - Country:US
Practice Address - Phone:757-819-7547
Practice Address - Fax:757-842-6570
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2019-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-01572207Q00000X
NY215878207Q00000X
VA0102202597207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine