Individual
MRS. JESSICA MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301-4199
(304) 623-3461
Mailing address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301-4199
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60022
WV
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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