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Jana Lanette Shockley, NP
Pediatric Nurse Practitioner in Indianapolis, Indiana
NPI 1487915468

Jana Lanette Shockley is a Pediatric Nurse Practitioner based in Chicago, IN and is specialized in Pediatrics. Jana Lanette Shockley practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Jana Lanette Shockley is 1487915468 and holds a License No. 71002365A (Indiana).

The current practice location address for Jana Lanette Shockley is 1002 Wishard Blvd, Indianapolis, IN and can be reached out via phone at 317-274-4779 and via fax at 317-948-9806. You can also correspond with Jana Lanette Shockley through the mailing address at PO BOX 778912, CHICAGO, IL - 60677-8912 (mailing address contact number: 317-777-6435).

Location: 1002 Wishard Blvd, Indianapolis, IN, 60677-8912
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Provider Profile Details
NPI Number
1487915468
Provider Name
Jana Lanette Shockley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1002 Wishard Blvd, Indianapolis, IN, 60677-8912
Phone Number
317-274-4779
Fax Number
317-948-9806
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201074150 05 IN
000000795010 01 IN ANTHEM
P01292378 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1002 Wishard Blvd
City
State
Zip
46202-4163
Phone Number
317-274-4779
Fax Number
317-948-9806
person
Provider Business Mailing Address Details
Address
1002 Wishard Blvd
City
State
Zip
46202-4163
Phone Number
317-274-4779
Fax Number
317-948-9806
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
71002365A (Indiana)
Definition
Definition to come...
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