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Mrs. Martha Jean Shaw
Licensed Practical Nurse in Taylor, Mississippi
NPI 1003967217

Martha Jean Shaw is a Licensed Practical Nurse based in Taylor, MS. Martha Jean Shaw practices in Taylor, MS. The NPI Number for Martha Jean Shaw is 1003967217 and holds a License No. 164W00000X (Mississippi).

The current practice location address for Martha Jean Shaw is 188 County Road 343, Taylor, MS and can be reached out via phone at 662-236-4543. You can also correspond with Martha Jean Shaw through the mailing address at 188 COUNTY ROAD 343, TAYLOR, MS - 38673-4541 (mailing address contact number: 662-236-4543).

Location: 188 County Road 343, Taylor, MS, 38673-4541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003967217
Provider Name
Martha Jean Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
188 County Road 343, Taylor, MS, 38673-4541
Phone Number
662-236-4543
Fax Number
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770204 05 MS
institution
Provider Business Practice Location Address Details
Address
188 County Road 343
City
Taylor
State
Mississippi
Zip
38673-4541
Phone Number
662-236-4543
Fax Number
person
Provider Business Mailing Address Details
Address
188 County Road 343
City
Taylor
State
Mississippi
Zip
38673-4541
Phone Number
662-236-4543
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
164W00000X (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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