Individual
JAMIE RENEE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 EPHRIHAM AVE, FORT WORTH, TX 76164-6642
(817) 702-6500
Mailing address
10220 RED BLUFF LN, FORT WORTH, TX 76177-7352
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP135034
TX
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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