Jacqueline S Shriver in Saint Marys - Women's Health
Jacqueline S Shriver - NPI 1083606610
Jacqueline S Shriver is a Women's Health in Saint Marys, Ohio. Jacqueline S Shriver practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Jacqueline S Shriver is 1083606610. The last update date is 2021-04-19.
Jacqueline S Shriver's current location address is 1140 S Knoxville Ave Ste B, Saint Marys, Ohio. You can contact this provider via phone number 4193947314 and fax number 4193947313. The mailing address for Jacqueline S Shriver is 1140 S Knoxville Ave Ste B, Saint Marys, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline S Shriver |
|---|---|
| Address | 1140 S Knoxville Ave Ste B, Saint Marys, Ohio |
| Phone Number | 4193947314 |
| Fax Number | 4193947313 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1083606610 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2021-04-19 |
Provider Mailing Address Detail
| Address | 1140 S Knoxville Ave Ste B |
|---|---|
| City | Saint Marys |
| State | Ohio (OH) |
| Post Code | 458852609 |
| Phone Number | 4193947314 |
| Fax Number | 4193947313 |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | NP2122 |
|
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9934723 | OH | GROUP MEDICARE | |
| 1184652539 | OH | GROUP NPI | |
| 742307 | OH | -- | |
| H561340 | OH | MEDICARE PTAN | |
| 105065 | OH | MEDICAID GROUP | |
| 34-1689161 | OH | GROUP TAX ID |
Post Comment/ Review Below
What is the Jacqueline S Shriver's 1083606610?
The Jacqueline S Shriver's NPI (National Provider Identifier) Number is 1083606610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jacqueline S Shriver is physically located?
The Jacqueline S Shriver is physically situated at the following address: 1140 S Knoxville Ave Ste B, Saint Marys, OH, 458852609.
What is the area of specialization for Jacqueline S Shriver, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacqueline S Shriver is Women's Health, and the corresponding taxonomy code that categorizes this area of expertise is 363Lw0102X.
When was the Jacqueline S Shriver's 1083606610 issued?
The Jacqueline S Shriver's 1083606610 was issued on 2005-08-19.
As of what date was the information pertaining to Jacqueline S Shriver, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacqueline S Shriver, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-19.