person
Jacqueline S Shriver, CRNP
Women's Health Nurse Practitioner in Saint Marys, Ohio
NPI 1083606610

Jacqueline S Shriver is a Women's Health Nurse Practitioner based in Saint Marys, OH and is specialized in Women's Health. Jacqueline S Shriver practices in Saint Marys, OH and has the professional credentials of CRNP. The NPI Number for Jacqueline S Shriver is 1083606610 and holds a License No. NP2122 (Ohio).

The current practice location address for Jacqueline S Shriver is 1140 S Knoxville Ave Ste B, Saint Marys, OH and can be reached out via phone at 419-394-7314 and via fax at 419-394-7313.

Location: 1140 S Knoxville Ave Ste B, Saint Marys, OH, 45885-2400
person
Provider Profile Details
NPI Number
1083606610
Provider Name
Jacqueline S Shriver
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1140 S Knoxville Ave Ste B, Saint Marys, OH, 45885-2400
Phone Number
419-394-7314
Fax Number
419-394-7313
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9934723 01 OH GROUP MEDICARE
1184652539 01 OH GROUP NPI
0742307 05 OH
H561340 01 OH MEDICARE PTAN
0105065 01 OH MEDICAID GROUP
34-1689161 01 OH GROUP TAX ID
institution
Provider Business Practice Location Address Details
Address
1140 S Knoxville Ave Ste B
City
State
Zip
45885-2609
Phone Number
419-394-7314
Fax Number
419-394-7313
person
Provider Business Mailing Address Details
Address
1140 S Knoxville Ave Ste B
City
State
Zip
45885-2609
Phone Number
419-394-7314
Fax Number
419-394-7313
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
NP2122 (Ohio)
Definition
Definition to come...
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