MRS. MARTHA JEAN SHAW
NPI 1003967217
Licensed Practical Nurse in Taylor, MS

Active since January 15, 2007
188 COUNTY ROAD 343, TAYLOR, MS 38673(662) 236-4543 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Martha Jean Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARTHA JEAN SHAW (NPI 1003967217) is an individual licensed practical nurse in Taylor, Mississippi, licensed in Mississippi (164W00000X) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1003967217
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MARTHA JEAN SHAW
Location Address188 COUNTY ROAD 343Taylor, MS 38673-4541
Mailing Address188 County Road 343Taylor, MS 38673-4541 · (662) 236-4543
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1003967217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MS · 164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
188 COUNTY ROAD 343, Taylor, MS 38673

Other Identifiers 1

Medicaid00770204MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Shaw's NPI number?

The NPI number for Martha Shaw is 1003967217. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Martha Shaw located?

Martha Shaw practices at 188 County Road 343, Taylor, MS 38673. The listed phone number is (662) 236-4543.

What is Martha Shaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Martha Shaw was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.