person
Mrs. Jenna L Shock, MSN,APRN,PMHNP-BC
Psychiatric/Mental Health Registered Nurse in Fort Wayne, Indiana
NPI 1255984738

Jenna L Shock is a Psychiatric/Mental Health Registered Nurse based in Fort Wayne, IN and is specialized in Psychiatric/Mental Health. Jenna L Shock practices in Fort Wayne, IN and has the professional credentials of MSN,APRN,PMHNP-BC. The NPI Number for Jenna L Shock is 1255984738 and holds a License No. 71009466A (Indiana).

The current practice location address for Jenna L Shock is 1690 Broadway, Fort Wayne, IN and can be reached out via phone at 260-200-4940 and via fax at 949-404-6540.

Location: 1690 Broadway, Fort Wayne, IN, 46802-2012
person
Provider Profile Details
NPI Number
1255984738
Provider Name
Jenna L Shock
Credential
MSN,APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1690 Broadway, Fort Wayne, IN, 46802-2012
Phone Number
260-200-4940
Fax Number
949-404-6540
Provider Enumeration Date
07/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300031451 05 IN
institution
Provider Business Practice Location Address Details
Address
1690 Broadway
City
State
Zip
46802-2012
Phone Number
260-200-4940
Fax Number
949-404-6540
person
Provider Business Mailing Address Details
Address
1690 Broadway
City
State
Zip
46802-2012
Phone Number
260-200-4940
Fax Number
949-404-6540
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28184986A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
71009466A (Indiana)
Definition
Definition to come...
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