Individual provider · Type 1 NPI
Jaquan Shaw
Driver · Newport News, VA
NPI number
1912642802
Active
Practice location
426 Old Oak Dr Apt 201
Newport News, VA 23602-4267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1912642802
Jaquan Shaw's National Provider Identifier is 1912642802, issued on May 4, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Newport News, VA. The record was last updated on May 4, 2022.