Jacqueline S Shriver is a Saint Marys, Ohio based nurse practitioner with 28 years of experience in Women Health. She completed her graduation in 1996. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacqueline S Shriver is NP2122 for Women Health in Ohio. Her current practice location is 1140 S Knoxville Ave Ste B, Saint Marys. Patients can reach her at 419-394-7314 or can fax her at 419-394-7313. Jacqueline S Shriver is CRNP with specialization in Women Health and her NPI number (Unique professional ID assigned by NPPES) is 1083606610. Jacqueline S Shriver has an advanced education and clinical experience in women’s health care and provides essential care to women of all ages. Women Health Nurse Practitioner (WHNPs) provide screenings for an array of health-related issues like breast cancer, cervical cancer, diabetes, human papillomavirus infection (HPV) and STIs. WHNPs also check for early signs of Alzheimer’s disease, heart disease and hypertension, and interpersonal and domestic violence.
Complete Profile:
Jacqueline S Shriver speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jacqueline S Shriver
Specialization:
Women Health Nurse Practitioner (WHNP)
Gender:
Female
Credentials:
CRNP
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1996
Accepts Medicare Assignment:
Yes
Practice Address:
1140 S Knoxville Ave Ste B, Saint Marys, Ohio, 45885-2609
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5698765097
Enrollment ID:
I20040517001099
NPI Number:
1083606610
NPI Enumeration Date:
19 Aug, 2005
NPI Last Update On:
19 Apr, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline S Shriver are as mentioned below.
License Number
Specialization
State
Status
NP2122
Women Health
Ohio
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(360032)
Saint marys, OH
Acute Care Hospital
(360009)
Lima, OH
Acute Care Hospital
(360066)
Lima, OH
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jacqueline S Shriver is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Jtdm Family Practice Llc (2163415837)
35
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacqueline S Shriver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9934723
Other
Ohio
GROUP MEDICARE
1184652539
Other
Ohio
GROUP NPI
0742307
Medicaid
Ohio
H561340
Other
Ohio
MEDICARE PTAN
0105065
Other
Ohio
MEDICAID GROUP
34-1689161
Other
Ohio
GROUP TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jacqueline S Shriver 200 Saint Clair Ave, Saint Marys, Ohio
Zip:
45885-2400
Phone Number:
419-300-1129
Fax Number:
419-394-9575
Patients can reach Jacqueline S Shriver at 1140 S Knoxville Ave Ste B, Saint Marys, Ohio or can call to book an appointment on 419-394-7314.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.