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NPI Code Detail

MEDICARE: JAMIE ELIZABETH SHAW RN

MEDICARE: JAMIE ELIZABETH SHAW RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse132315IA

General Provider Information

NPI Number : 1982563599
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE ELIZABETH SHAW RN
Provider Business Mailing Address
First Line : 2213 2ND ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1205
Country : US
Telephone Number : 319-358-2406
Fax Number :
Provider Business Practice Location Address
First Line : 2213 2ND ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1205
Country : US
Telephone Number : 319-358-2406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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