NPI age
18 years
Enumerated 2007-07-27
● Active
Type 1 · Individual
Jerrell Wayne Shaw, CRNA
Shaw is 1 of 14 nurse anesthetist, certified registered providers in Mesquite and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
18 years
↑ 5 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Practice location
3500 Interstate 30 Ste B240
Mesquite, TX 751502685
Mailing address
3500 Interstate 30
Mesquite, TX 751502651
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 00413W |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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