Individual
KIMBERLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
232 MARKET ST, FLOWOOD, MS 39232-3339
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0037972
OH
363LF0000X
Family Nurse Practitioner
116558
NE
363LF0000X
Family Nurse Practitioner
1196432
TX
363LF0000X
Family Nurse Practitioner
2024046003
MO
363LF0000X
Family Nurse Practitioner
232090
AR
363LF0000X
Family Nurse Practitioner
37681
TN
363LF0000X
Family Nurse Practitioner
5021135
NC
363LF0000X
Family Nurse Practitioner
71017357A
IN
363LF0000X
Family Nurse Practitioner
86157
NM
363LF0000X
Family Nurse Practitioner
Primary
904933
MS
363LF0000X
Family Nurse Practitioner
APRN-4940
HI
363LF0000X
Family Nurse Practitioner
APRN11036441
FL
363LF0000X
Family Nurse Practitioner
SP033294
PA
Other
Enumeration date
09/30/2021
Last updated
01/16/2026
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