Individual
JENNIFER J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
705 W 7TH AVE STE H2, SPOKANE, WA 99204-2836
(509) 842-3900
Mailing address
627 W 14TH AVE, SPOKANE, WA 99204-3719
(509) 998-0565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61244792
WA
Other
Enumeration date
12/02/2020
Last updated
08/24/2022
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