JORDAN SHAW

WICHITA, KS
NPI1164872263
Former NameJORDAN CARTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  77282)
Enumeration Date2016-06-20
Last Update Date2016-06-20
Business Address
-- JORDAN SHAW APRN
929 N SAINT FRANCIS ST
WICHITA, KS 67214-3821
Phone number: 316-268-8050
Mailing Address
-- JORDAN SHAW APRN
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2777
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