Individual
ALEXANDRIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
103 HALLS CV, SENATOBIA, MS 38668-6620
(662) 562-9003
Mailing address
103 HALLS CV, SENATOBIA, MS 38668-6620
(662) 562-9003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22874
TN
363LF0000X
Family Nurse Practitioner
Primary
902097
MS
Other
Enumeration date
09/20/2017
Last updated
06/14/2023
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