Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fallon S Shaw, AGPCNP

Individual provider Primary Care Nurse Practitioner · NPI 1841114006

Fallon S Shaw, AGPCNP is a Primary Care Nurse Practitioner in Greenville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

1425 E Fire Tower Rd Ste 100
Greenville, NC 27858-4131
Phone: (252) 758-5888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 5025087 (NC)

Record details

NPI number1841114006
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedAugust 8, 2026
Last updated in NPPESAugust 8, 2026
Certification dateAugust 8, 2026

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