Individual
MRS. JENNIFER SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
301 N PRESTON RD STE B, PROSPER, TX 75078-8876
(972) 347-1320
Mailing address
1925 KIESTWOOD CIR, PLANO, TX 75025-3027
(734) 478-9644
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP133719
TX
Other
Enumeration date
04/04/2017
Last updated
02/03/2020
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