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: July 19, 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

The NPI number assigned to this healthcare provider is 1003967217, enumerated as an "individual" on January 15, 2007.

The provider is located at 188 COUNTY ROAD 343 TAYLOR, MS 38673 and the phone number is (662) 236-4543.

Licensed Practical Nurse with taxonomy code 164W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.