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

Jennifer Lee Shallow, DNP

Individual provider Nurse Practitioner · NPI 1861940884

Jennifer Lee Shallow, DNP is a Nurse Practitioner in Fall River, Massachusetts. Qualified in 2016, 10 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

363 Highland Ave
Fall River, MA 02720-3703
Phone: (508) 679-3131
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2261577 (MA)

Record details

NPI number1861940884
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedSeptember 19, 2016
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address200 Mill Rd Ste 180, Fairhaven, MA 02719-5255

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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