Jordan Anthony Shaw, APRN
Nurse Practitioner, Acute Care in Kansas City, KS. Individual provider (NPI-1).
NPI number1982187274
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1982187274
- Entity type
- Individual (NPI-1)
- Name
- Jordan Anthony Shaw
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2018
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 53-78418 | KS | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 14-140762-091 | KS |
Practice location
4000 Cambridge St Ste G600Kansas City, KS 66160-8501
Phone 913-588-9600
Mailing address
4000 Cambridge St Ste G600Kansas City, KS 66160-8501
Phone 913-588-9600
Other practice locations
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Kansas City, KS 66160-8500
Phone 913-588-5000
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All 41 Acute Care Nurse Practitioner providers in Kansas City · All 5,163 providers in Kansas City
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