Individual provider · Type 1 NPI

Shenna J. Shaw, NP

Nurse Practitioner · Concord, NC

NPI number 1053783134 Active

Practice location

1085 NE Gateway Ct NE Ste 100
Concord, NC 28025-2411

Fax (704) 707-2203

Mailing address

1518 E 3rd St Ste 250
Charlotte, NC 28204-3192

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X500813 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053783134

Shenna J. Shaw, NP's National Provider Identifier is 1053783134, issued on Oct 28, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Concord, NC. The record was last updated on Mar 31, 2026.