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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA01964 (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.