| NPI | 1104322510 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2018-04-04 |
| Last Updated | 2023-07-11 |
| Mailing Address | 47 5th St Nw Winter Haven, FL 33881-4672 United States Phone: (866) 234-8534 📍 View Map |
| Primary Practice Address | 109 W Wall St Frostproof, FL 33843-2043 United States Phone: (866) 234-8534 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | FL | 9378843 |
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About NPI 1104322510
Jennifer Shaw ARNP, FNP-C, RNC-OB is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104322510. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Frostproof, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-04-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104322510?
NPI 1104322510 belongs to Jennifer Shaw ARNP, FNP-C, RNC-OB, a Nurse Practitioner, Family in Frostproof, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104322510 active?
The current status of NPI 1104322510 in the NPPES registry is Active. The record was last updated on 2023-07-11.
What specialty is NPI 1104322510?
NPI 1104322510 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104322510?
You can verify NPI 1104322510 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104322510?
The primary practice address on file for NPI 1104322510 is 109 W Wall St, Frostproof, FL 33843-2043. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104322510 issued?
NPI 1104322510 was first issued (enumerated) on 2018-04-04. The NPPES record was last updated on 2023-07-11.
Practice Location Map
Jennifer Shaw is located at 109 W Wall St, Frostproof, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jennifer Shaw. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104322510. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 9378843 | FL |