Individual provider · Type 1 NPI
Stacey Lynn Shaw, APRN
Psychiatric/Mental Health Nurse Practitioner · Myrtle Beach, SC
NPI number
1093226789
Active
Practice location
607 Briarwood Dr Ste 6
Myrtle Beach, SC 29572-6733
Fax (854) 237-5618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 20127 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1093226789
Stacey Lynn Shaw, APRN's National Provider Identifier is 1093226789, issued on Oct 20, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 15, 2026.