Individual provider · Type 1 NPI

Jacquelyn Shaw, CPNP-PC

Pediatric Nurse Practitioner · Sugar Land, TX

NPI number 1255649802 Active

Practice location

15400 Southwest Fwy, Suite 300
Sugar Land, TX 77478-3875

Mailing address

PO Box 841969
Dallas, TX 75284-1969

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X546586 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1255649802

Jacquelyn Shaw, CPNP-PC's National Provider Identifier is 1255649802, issued on Sep 16, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sugar Land, TX. The record was last updated on Sep 16, 2010.