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

Justine Renae Shaw

Individual provider Nurse Practitioner · NPI 1417881202

Justine Renae Shaw is a Nurse Practitioner in Dallas, Texas. Licensed in Arkansas. Registered with an NPI since 2026.

Licensed in
AR
In the registry since
2026

Practice location Address checks out

4055 Valley View Ln
Dallas, TX 75244-5074
Phone: (855) 984-5121
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 237789 (AR)

Record details

NPI number1417881202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address159 Challain Dr, Little Rock, AR 72223-5517

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