JILL MARIE SHAW (NPI# 1457508475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457508475 |
| Entity Type | Individual |
| Full Name | JILL MARIE SHAW |
| Credential | FNP-BC |
| Practice Address |
356 W Cherry St Ackerman MS 39735-8709 |
| Mailing Address |
Po Box 1327 Starkville MS 39760-1327 |
| Practice Telephone | 6622853243 |
| Mailing Telephone | 6622853243 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R753944 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953721 | Jill Marie Shaw | Specialist | 1009 E. Eldorado St., Decatur, IL 62522-9023 | 2017-10-12 |
| 1083734727 | Jill Balla Shaw | Chiropractor | 38377 N Drexel Blvd, Antioch, IL 60002-9778 | 2007-03-29 |
| 1770576340 | Jill Marie Shaw | Obstetrics & Gynecology | 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222-2237 | 2005-08-29 |
| 1891239760 | Jill Shaw | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-12-13 |
| 1447529938 | Jill Shaw | Counselor | 181 Brackett St, Portland, ME 04102-3857 | 2011-12-29 |
| 1790839355 | Jill Ann Shaw | Family Medicine | 1035 Placer St, Redding, CA 96001-1125 | 2007-01-22 |
| 1821020413 | Jill Davis Shaw | Speech-Language Pathologist | 32 Garland Dr, Jackson, TN 38305-3602 | 2006-07-06 |
| Street Address |
356 W CHERRY ST |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821051756 | Prentiss Parsons | Family Medicine | 356 W Cherry St, Ackerman, MS 39735-8709 | 2006-04-11 |
| 1679183610 | Amanda Davis Miller | Nurse Practitioner | 356 W Cherry St, Ackerman, MS 39735-8709 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982122289 | Carroll Bruister IIi | Pharmacist | 222 Mabus, Ackerman, MS 39735 | 2017-09-07 |
| 1619243540 | Phillip Smith | Durable Medical Equipment & Medical Supplies | 9093 Highway 15, Ackerman, MS 39735 | 2012-03-26 |
| 1508174525 | Choctaw County School District | Local Education Agency (LEA) | 19 E. Main St., Ackerman, MS 39735 | 2010-09-24 |
| 1710204326 | Ackerman Family Dentistry, Pllc | Dentist | 136 North Louisville Street, Ackerman, MS 39735 | 2010-04-23 |
| 1427232552 | Jennie Bobo | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735 | 2007-12-26 |
| 1053503623 | Leanna Bryant Baker | Speech-Language Pathologist | 148 W Cherry St, Choctaw County Nursing Home, Ackerman, MS 39735 | 2007-08-16 |
| 1568502300 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 148 West Cherry Street, Ackerman, MS 39735 | 2007-02-08 |
| 1639224231 | John David Mitchell Jr. | Dentist | 1171 West Main Street, Ackerman, MS 39735 | 2007-01-24 |
| 1689726283 | Jackie Felda Jones Jr. | Dentist | 11 North Louisville St, Ackerman, MS 39735 | 2007-01-17 |
| 1972612984 | North Mississippi Medical Clinics Inc | Family Medicine | 356 West Cherry Street, Ackerman, MS 39735 | 2006-08-30 |
| Find all providers in zip 39735 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183610 | Amanda Davis Miller | Nurse Practitioner | 356 W Cherry St, Ackerman, MS 39735-8709 | 2020-08-04 |
| 1154981470 | Megan Paige Hubbard | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2019-06-18 |
| 1760959027 | Brittany Dempsey Dickerson | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2018-10-25 |
| 1548643380 | Rushaunda Nash | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2015-06-29 |
| 1528475217 | Yoshie Sheray Lilley | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-15 |
| 1487900098 | Alisha Boutwell Tenhet | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2012-08-01 |
| 1063716082 | Kellie Rone Cauthen | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2011-01-05 |
| 1154381200 | Sylvia Crutchfield | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.