Individual
MRS. CHRISTY LYNN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6809 HIGHWAY 90 E, OCEAN SPRINGS, MS 39564-8655
(228) 215-3652
Mailing address
2308 RIVER BLUFFS DR, VANCLEAVE, MS 39565-6629
(228) 218-6557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902685
MS
Other
Enumeration date
10/13/2018
Last updated
11/09/2020
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