Individual provider · Type 1 NPI

Jordan Shaw, APRN

Family Nurse Practitioner · Wichita, KS

NPI number 1164872263 Active

Practice location

929 N Saint Francis St
Wichita, KS 67214-3821

Mailing address

2100 Powell St, Suite 900
Emeryville, CA 94608-1826

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X77282 (KS)

Family Nurse Practitioner: Definition to come...

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About NPI 1164872263

Jordan Shaw, APRN's National Provider Identifier is 1164872263, issued on Jun 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wichita, KS. The record was last updated on Jun 20, 2016.