Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY THOMAS SHADRACH, AGNP
ActiveJEFFREY THOMAS SHADRACH, AGNP is a Adult Health Nurse Practitioner healthcare provider located in MARYLAND HEIGHTS, Missouri. NPI 1235861766 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MARYLAND HEIGHTS, MO
Registration Details
- NPI Number
- 1235861766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2022 (4.1262482113408 yrs)
- Last Updated
- Jun 24, 2022
- Licenses
-
2021044288 (MO)2021044288 (MO)
Practice Information
- Address
-
13655 RIVERPORT DRMARYLAND HEIGHTS, MO, 630434812Browse MO providers · Browse ZIP 63043
- Phone
- 3145927000
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in MARYLAND HEIGHTS, MO
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE R GOTTMAN | A.N.P. | 1386972925 |
| MARY RACHEL BORDERS | NP | 1942821707 |
| VALICIA WARNER | NP | 1336876838 |
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.