Individual
JENNIFER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2323 W FRONT ST, TYLER, TX 75702-7747
(903) 597-1351
Mailing address
2323 W FRONT ST, TYLER, TX 75702-7747
(903) 597-1351
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1177952
TX
Other
Enumeration date
11/26/2024
Last updated
03/02/2026
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