Individual
JENNIFER LYNNE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399
Mailing address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R046946
ME
Other
Enumeration date
08/20/2008
Last updated
11/14/2014
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