Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSALYN SHAW, M.D.
ActiveJESSALYN SHAW, M.D. is a 2080C0008X healthcare provider located in WORCESTER, Massachusetts. NPI 1023470606 is currently active in the NPPES registry. Verify at CMS.
2080C0008X · WORCESTER, MA
Registration Details
- NPI Number
- 1023470606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2016 (10.410429648111 yrs)
- Last Updated
- Oct 9, 2024
- Licenses
-
125.068279 (IL)036.148617 (IL)1021425 (MA)1021425 (MA)
Practice Information
- Address
-
55 LAKE AVE NWORCESTER, MA, 016550002Browse MA providers · Browse ZIP 01655
- Phone
- 7744426629
- Fax
- 7744437399
- Primary Specialty
-
2080C0008X
2080C0008X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 2080C0008X
Other 2080C0008X Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| SASHA S SVENDSEN | M.D. | 1538489448 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.