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Individual

JAYDE MARIE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP

Contact information

Practice address
4401 6TH ST STE B, LUBBOCK, TX 79416-4700
(806) 853-5314
Mailing address
2000 WESTFALIAN TRL APT 6, AUSTIN, TX 78732-1977
(432) 251-9994

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1218584
TX

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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