Shaw, Jessica R
Shaw, Jessica R is an individual health care provider with primary practice located at 800 W Magnolia Ave , Fort Worth TX 76104-4611. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shaw, Jessica R can be contacted via phone (817) 759-7000.Contact Information
Primary practice address
800 W Magnolia Ave
Fort Worth TX 76104-4611
Phone: (817) 759-7000
Fax: (817) 759-7027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Neuroscience | 163WN0800X | 637618 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP132391 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP132391 | Texas |
Profile Details
| NPI number | 1417969429 |
|---|---|
| LBN Legal business name | Shaw, Jessica R |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Feb 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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