Individual provider · Type 1 NPI

Jennifer Smith Shaw, APRN

Adult Health Nurse Practitioner · Salt Lake City, UT

NPI number 1104253954 Active

Practice location

1950 Circle Of Hope
Salt Lake City, UT 84112-5550

Fax (801) 581-7575

Mailing address

127 S 500 E Ste 600
Salt Lake City, UT 84102-1971

Other practice locations

  • 2000 Circle Of Hope, Salt Lake City, UT 84112 · (801) 585-0254

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X275995-4405 (UT)
Nurse Practitioner 363L00000X275995-4405 (UT)
Primary Care Nurse Practitioner 363LP2300X275995-4405 (UT)
Adult Health Nurse Practitioner Primary 363LA2200X275995-4405 (UT)

Adult Health Nurse Practitioner: Definition to come...

34 other providers at this address

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About NPI 1104253954

Jennifer Smith Shaw, APRN's National Provider Identifier is 1104253954, issued on Oct 10, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 21, 2021.