IndividualActive
Alnissa Shaw, PA-C
NPI 1669631545 · Medical Physician Assistant · Garner, NC
Provider details
- NPI number
- 1669631545
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
811 US Highway 70 W
Garner, NC 27529-2541
Phone: (919) 779-5079
Fax: (919) 779-9268
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 41008
Fayetteville, NC 28309-1008
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2023-03-07
- Certified
- 2019-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.