IndividualActive
Courtney Shaffer, PA-C
NPI 1093209041 · Surgical Physician Assistant · Kokomo, IN
Provider details
- NPI number
- 1093209041
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10002483A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1907 W Sycamore St # 200
Kokomo, IN 46901-5148
Phone: (765) 236-8170
Approximate (ZIP-level) locationGet directions
Mailing address
1907 W Sycamore St # 200
Kokomo, IN 46901-5148
Additional practice locations (2)
- 2485 E Wabash StFrankfort, IN 46041-9400Phone: (765) 236-8170
- 1101 Michigan AveLogansport, IN 46947Phone: (574) 753-7541
Registry dates
- Enumerated
- 2018-06-21
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.