Shaw, Jennifer Smith
Shaw, Jennifer Smith is an sole proprietor health care provider with primary practice located at 1950 Circle Of Hope , Salt Lake City UT 84112-5550. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Shaw, Jennifer Smith can be contacted via phone (801) 585-0100.Contact Information
Primary practice address
1950 Circle Of Hope
Salt Lake City UT 84112-5550
Phone: (801) 585-0100
Fax: (801) 581-7575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 275995-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 275995-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 275995-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 275995-4405 | Utah |
Profile Details
| NPI number | 1104253954 |
|---|---|
| LBN Legal business name | Shaw, Jennifer Smith |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2013 |
| Last updated | Oct 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104253954 | NPPES |
| Utah | Other | 275995-4405 | UTAH APRN LICENSE |
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