Individual
SHENNA J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1085 NE GATEWAY CT NE STE 100, CONCORD, NC 28025-2411
(704) 707-2200
(704) 707-2203
Mailing address
1518 E 3RD ST STE 250, CHARLOTTE, NC 28204-3192
(704) 944-6330
(704) 337-8387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
500813
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
500813
NC
Other
Enumeration date
10/28/2015
Last updated
03/31/2026
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