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

Jaclyn Williams Shaw, APRN

Individual provider Nurse Practitioner · NPI 1982446035

Jaclyn Williams Shaw, APRN is a Nurse Practitioner in Panama City, Florida. Qualified in 2024, 2 years ago. Practices with Emerald Coast Rheumatology LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

615 N Bonita Ave
Panama City, FL 32401-3623
Phone: (850) 804-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11033320 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11033320 (FL)

Record details

NPI number1982446035
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address1112 N Haven Cir, Lynn Haven, FL 32444-2934

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Emerald Coast Rheumatology Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Panama City