Individual provider · Type 1 NPI

Jennifer Shivers, PA-C

Medical Physician Assistant · Plano, TX

NPI number 1699826503 Active

Practice location

6020 W Parker Rd, Suite 200
Plano, TX 75093-8171

Fax (972) 608-5020

Mailing address

PO Box 262409
Plano, TX 75026-2409

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01964 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1699826503

Jennifer Shivers, PA-C's National Provider Identifier is 1699826503, issued on Jan 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plano, TX. The record was last updated on Aug 20, 2010.