MS. Jerri Lynn Shaw

NPI #1912561903 in Pawnee, Oklahoma

Provider Information

NPI Number: 1912561903
Entity Type: Individual
Name: MS. Jerri Lynn Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 25, 2019
Last Updated: Apr 25, 2019

Practice Location

Address: 540 ILLINOIS ST
City: Pawnee
State: Oklahoma
ZIP Code: 74058-2036
Phone: (918) 762-1045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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