| Doctor Name: | JACQUELINE S SHAPIRO |
| NPI Number: | 1033307723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP007193 |
| Business Practice Address: | 100 Lancaster Ave Suite 301 Wynnewood, PA - 19096 |
| Business Phone Number: | 4844764650 |
| Business Fax Number: | 6106453577 |
| Mailing Address: | 100 Lancaster Ave, Lankenau Hospital Depart Of Ob//gyn WYNNEWOOD |
| State: | PA |
| Postal Code: | 19096 |
| Phone Number: | 4844764650 |
| Fax Number: | 6106453577 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | SP007193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |