NPI 1003967217

Martha Jean Shaw

Practitioner Licensed Practical Nurse Taylor, MS

Practice location

Address: 188 County Road 343, Taylor, MS 38673-4541
Phone: (662) 236-4543

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 164W00000X (MS)

Other Licensed Practical Nurse providers in Mississippi →

Registry record

NPI: 1003967217
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.