JEFFREY THOMAS SHADRACH AGNP
NPI 1235861766
Nurse Practitioner - Adult Health in Maryland Heights, MO
About Jeffrey Thomas Shadrach Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY THOMAS SHADRACH AGNP (NPI 1235861766) is an individual adult health provider in Maryland Heights, Missouri, licensed in Missouri (2021044288) and active in the NPI registry since June 2022.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARYLAND HEIGHTS, MO 63043
MARYLAND HEIGHTS, MO 63043
MARYLAND HEIGHTS, MO 63043
MARYLAND HEIGHTS, MO 63043
MARYLAND HEIGHTS, MO 63043
MARYLAND HEIGHTS, MO 63043
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 Jeffrey Shadrach's NPI number?
The NPI number for Jeffrey Shadrach is 1235861766. It was assigned to this individual provider in the NPPES registry on June 24, 2022.
Where is Jeffrey Shadrach located?
Jeffrey Shadrach practices at 13655 Riverport Dr, Maryland Heights, MO 63043. The listed phone number is (314) 592-7000.
What is Jeffrey Shadrach's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
When was this NPI record last updated?
The NPPES record for Jeffrey Shadrach was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jeffrey Thomas Shadrach, AGNP · NPI 1235861766
Adult Health physician in Maryland Heights, Missouri. Individual provider, active in the CMS NPPES registry since June 24, 2022.
## Identity
- **NPI:** 1235861766 (Entity type: Individual)
- **Enumerated:** June 24, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 2021044288 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 13655 RIVERPORT DR, Maryland Heights, MO 63043-4812
- **Phone:** (314) 592-7000
## Record status
- **NPPES last updated:** June 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235861766) · Data from the CMS NPPES public registry.