Individual provider · Type 1 NPI

Alexandra Corley Shaw, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Greenville, SC

NPI number 1205428349 Active

Practice location

429 Roper Mountain Rd Ste 901
Greenville, SC 29615-4254

Fax (864) 203-4587

Mailing address

1 Pennwood Ln
Greenville, SC 29609-1643

Other practice locations

  • 1911 Gadsden St Ste 101, Columbia, SC 29201-6400 · (803) 335-5232

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X24667 (SC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205428349

Alexandra Corley Shaw, PMHNP-BC's National Provider Identifier is 1205428349, issued on Feb 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Greenville, SC. The record was last updated on Aug 24, 2022.