Individual
ANNA MEREDITH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1535 VANN DR, JACKSON, TN 38305
(731) 984-9944
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-5565
(901) 287-6804
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13931
TN
363LP0222X
Critical Care Pediatric Nurse Practitioner
13931
TN
Other
Enumeration date
10/04/2009
Last updated
06/14/2018
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