Jessica R Shaw in Fort Worth - Family

Jessica R Shaw - NPI 1417969429

Jessica R Shaw is a Family in Fort Worth, Texas. Jessica R Shaw practices all healthcare services and medical treatments related to Family. The NPI Number for Jessica R Shaw is 1417969429. The last update date is 2021-02-23.

Jessica R Shaw's current location address is 800 W Magnolia Ave, Fort Worth, Texas. You can contact this provider via phone number 8177597000 and fax number 8177597027. The mailing address for Jessica R Shaw is 800 W Magnolia Ave, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica R Shaw
Address 800 W Magnolia Ave, Fort Worth, Texas
Phone Number 8177597000
Fax Number 8177597027
Sole Proprietor N
Credentials AGACNP-BC

NPI Number Detail

NPI Number 1417969429
Provider Enumeration Date 2006-08-12
Last Updated Date 2021-02-23

Provider Mailing Address Detail

Address 800 W Magnolia Ave
City Fort Worth
State Texas (TX)
Post Code 761044611
Phone Number 8177597000
Fax Number 8177597027

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No AP132391
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jessica R Shaw

What is the unique provider identifier assigned to Jessica R Shaw?

The Jessica R Shaw has been issued the NPI (National Provider Identifier) 1417969429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jessica R Shaw's facilities are geographically located?

The facilities of Jessica R Shaw are physically situated at the following location: 800 W Magnolia Ave, Fort Worth, TX, 761044611.

What is Jessica R Shaw's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jessica R Shaw is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1417969429 to Jessica R Shaw?

The Jessica R Shaw received its 1417969429 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.

When was the information regarding Jessica R Shaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jessica R Shaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-02-23.

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