Jennifer Lynne Shaw in Freeport - Family
Jennifer Lynne Shaw - NPI 1417104415
Jennifer Lynne Shaw is a Family in Freeport, Maine. Jennifer Lynne Shaw practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Lynne Shaw is 1417104415. The last update date is 2014-11-14.
Jennifer Lynne Shaw's current location address is 50 Marquis Rd, Freeport, Maine. You can contact this provider via phone number 2078656131 and fax number 2078659399. The mailing address for Jennifer Lynne Shaw is 50 Marquis Rd, Freeport, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Lynne Shaw |
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Address | 50 Marquis Rd, Freeport, Maine |
Phone Number | 2078656131 |
Fax Number | 2078659399 |
Sole Proprietor | N |
Credentials | FNP-BC |
NPI Number Detail
NPI Number | 1417104415 |
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Provider Enumeration Date | 2008-08-20 |
Last Updated Date | 2014-11-14 |
Provider Mailing Address Detail
Address | 50 Marquis Rd |
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City | Freeport |
State | Maine (ME) |
Post Code | 40326477 |
Phone Number | 2078656131 |
Fax Number | 2078659399 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | R046946 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code assigned to Jennifer Lynne Shaw by the Centers for Medicare & Medicaid Services?
The Jennifer Lynne Shaw has been issued the NPI (National Provider Identifier) 1417104415, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jennifer Lynne Shaw's facilities are situated?
The facilities of Jennifer Lynne Shaw are physically located at the following address: 50 Marquis Rd, Freeport, ME, 40326477.
What is Jennifer Lynne Shaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer Lynne Shaw's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did Jennifer Lynne Shaw receive its 1417104415 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Lynne Shaw was assigned its 1417104415 on 2008-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jennifer Lynne Shaw last refreshed?
The information related to the Jennifer Lynne Shaw, including its address, specialty, and other relevant details, was last updated on 2014-11-14.