Individual ProviderMari-Jane ShafferNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Reilly St, Fort Bragg, NC 28310-7324(910) 907-6823PECOS EnrollmentBased on the most recent information from CMS, provider Mari-Jane Shaffer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1356718308Provider TypeIndividualFull NameShaffer, Mari-JaneCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date8/25/2015Last Updated8/25/2015Contact InformationPractice LocationPractice Address2817 Reilly St, Fort Bragg, NC 28310-7324Phone(910) 907-6823Fax(910) 907-8972Mailing LocationMailing Address2817 Reilly St, Fort Bragg, NC 28310-7324Phone(910) 907-6823Fax(910) 907-8972Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense99003North Carolina