MRS. Jacqueline Anne Shaw, PA-C
NPI #1982144911 in Southampton, New York
Provider Information
- NPI Number
- 1982144911
- Entity Type
- Individual
- Name
- MRS. Jacqueline Anne Shaw, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 23, 2017
- Last Updated
- Jul 26, 2019
Practice Location
- Address
- 686 COUNTY ROAD 39A
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-5703
- Phone
- (631) 283-0355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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