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

Jacqueline S Shriver, CRNP

Individual provider Women's Health Nurse Practitioner · NPI 1083606610

Jacqueline S Shriver, CRNP is a Nurse Practitioner in Saint Marys, Ohio. Qualified in 1996, 30 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
30
Licensed in
OH
In the registry since
2005
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1140 S Knoxville Ave Ste B
Saint Marys, OH 45885-2609
Phone: (419) 394-7314
Fax: (419) 394-7313
Show map & directions

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

Additional practice locations (2)

  • 801 Pro Dr Ste D3, Celina, OH 45822-3307 — (419) 394-7314
  • 4 Eagle Dr Ste B, Minster, OH 45865-9714 — (419) 394-7314

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence NP2122 (OH)

Record details

NPI number1083606610
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Jtdm Family Practice Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Marys