Individual
JORDAN ANTHONY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
14-140762-091
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
53-78418
KS
Other
Enumeration date
09/12/2018
Last updated
02/21/2025
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