Individual
JEREMY MICHAEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 SW FRAZIER CIR, TOPEKA, KS 66606-2800
(785) 232-2044
Mailing address
200 SW FRAZIER CIR, TOPEKA, KS 66606-2800
(785) 232-2044
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
53-84884-021
KS
363LF0000X
Family Nurse Practitioner
Primary
53-84884-021
KS
Other
Enumeration date
10/20/2025
Last updated
10/30/2025
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