Shaw, Jerry Emerson

Shaw, Jerry Emerson is an individual health care provider with primary practice located at 3980 New Covington Pike Ste 200 , Memphis TN 38128-2514. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shaw, Jerry Emerson can be contacted via phone (901) 937-3232.

Contact Information

Primary practice address
3980 New Covington Pike Ste 200 Memphis TN 38128-2514
Fax: (901) 373-0804
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 815 Tennessee

Profile Details

NPI number 1265619118
LBN Legal business name Shaw, Jerry Emerson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Sep 1st, 2009 - about 15 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.

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