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

Jeffrey Thomas Shadrach, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1235861766

Jeffrey Thomas Shadrach, AGNP is an Adult Health Nurse Practitioner in Maryland Heights, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

13655 Riverport Dr
Maryland Heights, MO 63043-4812
Phone: (314) 592-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2021044288 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2021044288 (MO)

Record details

NPI number1235861766
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJune 24, 2022
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022

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