Individual
JUSTINE RENAE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(855) 984-5121
Mailing address
159 CHALLAIN DR, LITTLE ROCK, AR 72223-5517
(903) 245-3010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
237789
AR
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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