Overview
Name: JACQUELINE S SHRIVER CRNP
Specialty: Women’s Health Nurse Practitioner
Type of Practice: Individual provider
Provider/Org:
Medical School: OTHER
Graduation year from medical school: 1996
Affiliation: JTDM FAMILY PRACTICE LLC
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Women’s Health. NURSE PRACTITIONER
Definition of Specialty: Definition to come…
License & NPI
License #(s): NP2122, , , ,
License State(s): OH, , , ,
Addresses
Practice Location: 1140 S KNOXVILLE AVE STE B,SAINT MARYS,OH,458852609,US
Mailing Address: 200 SAINT CLAIR AVE,SAINT MARYS,OH,458852400,US
Contact #
Practice location phone #: 4193947314
Practice location fax #: 4193947313
Mailing address Phone #: 4193001129
Mailing Address fax #: 4193949575
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/19/2005
Last data data was updated: 04/19/2021
Insurances: