Individual provider · Type 1 NPI

Fallon S. Shaw, AGPCNP

Primary Care Nurse Practitioner · Greenville, NC

NPI number 1841114006 Active

Practice location

1425 E Fire Tower Rd Ste 100
Greenville, NC 27858-4131

Call (252) 758-5888 Map

Mailing address

3230 School View Dr
Farmville, NC 27828-7711

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X5025087 (NC)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1841114006

Fallon S. Shaw, AGPCNP's National Provider Identifier is 1841114006, issued on Aug 8, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Greenville, NC. The record was last updated on Aug 8, 2026.