IndividualActive
Johnny Shupe, APRN
NPI 1659495356 · Family Nurse Practitioner · Duffield, VA
Provider details
- NPI number
- 1659495356
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 0024151769 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
373 Cecil D Quillen Dr
Suite 101
Duffield, VA 24244-4085
Phone: (276) 431-1638
Fax: (276) 431-1639
Street-level locationGet directions
Mailing address
3609 Hemlock Park Dr
Kingsport, TN 37663-2063
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2009-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.