Individual provider · Type 1 NPI

Crystal Shaw, FNP

Family Nurse Practitioner · Oxford, MS

NPI number 1205430964 Active

Practice location

1100 Belk Blvd
Oxford, MS 38655-5242

Mailing address

3042 County Road 85
Coffeeville, MS 38922-3411

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X896703 (MS)
Family Nurse Practitioner Primary 363LF0000XF09220871 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1205430964

Crystal Shaw, FNP's National Provider Identifier is 1205430964, issued on Nov 24, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oxford, MS. The record was last updated on Nov 21, 2022.