Individual provider · Type 1 NPI

Jacqueline Anne Shaw, PA-C

Physician Assistant · Southampton, NY

NPI number 1982144911 Active

Practice location

686 County Road 39A
Southampton, NY 11968-5703

Call (631) 283-0355 Map

Fax (631) 283-2084

Mailing address

635 Belle Terre Rd, Ste 204
Port Jefferson, NY 11777-1977

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1982144911

Jacqueline Anne Shaw, PA-C's National Provider Identifier is 1982144911, issued on Feb 23, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southampton, NY. The record was last updated on Jul 26, 2019.