Individual provider · Type 1 NPI

Virginia Shaw, NP

Nurse Practitioner · Columbus, MS

NPI number 1396786752 Active

Practice location

2520 5th St N
Columbus, MS 39705-2008

Fax (904) 805-1302

Mailing address

PO Box 75473
Baltimore, MD 21275-5473

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR653063 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396786752

Virginia Shaw, NP's National Provider Identifier is 1396786752, issued on Jun 9, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, MS. The record was last updated on Jul 13, 2026.