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Individual
MS. JESSICA R SHAW
Active
Individual
MS. JESSICA R SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
637618
TX
363LA2100X
Acute Care Nurse Practitioner
AP132391
TX
363LF0000X
Family Nurse Practitioner
Primary
AP132391
TX
Other
Enumeration date
08/12/2006
Last updated
02/05/2025
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