Individual provider · Type 1 NPI
Jessica Marilyn Shaw
Peer Specialist · Stockbridge, MI
NPI number
1679409544
Active
Practice location
5191 Haynes Rd
Stockbridge, MI 49285-9523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
About NPI 1679409544
Jessica Marilyn Shaw's National Provider Identifier is 1679409544, issued on Jun 19, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stockbridge, MI. The record was last updated on Jun 19, 2026.