JENNIFER J SHOCKLEY (NPI# 1205191723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205191723 |
| Entity Type | Individual |
| Full Name | JENNIFER J SHOCKLEY |
| Other Name | JENNIFER J KUNZ |
| Credential | LPN |
| Practice Address |
9503 State Route 350 Clarksville OH 45113-9447 |
| Practice Telephone | 9377900282 |
| Mailing Telephone | 9377900282 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.148669-M-IV | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740248103 | Jennifer S Shockley | Nurse Anesthetist, Certified Registered | 216 Olive Branch Rd, Nashville, TN 37205-3220 | 2006-05-03 |
| 1609421478 | Jennifer Leigh Shockley | Counselor | 2513 Youngstown Rd, Turlock, CA 95380-9707 | 2019-08-07 |
| 1588034656 | Jennifer Shockley | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2015-10-02 |
| 1336139658 | Jennifer A Shockley | Family Medicine | 115 Bridge St, Elk Rapids, MI 49629-5110 | 2005-10-27 |
| Street Address |
9503 STATE ROUTE 350 |
| City | CLARKSVILLE |
| State | OH |
| Zip Code | 45113-9447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770015786 | Megan Whyte | Specialist/Technologist | 3827 Pansy Road, Clarksville, OH 45113 | 2017-03-29 |
| 1639538093 | James Simpson | Counselor | 30 East Broad Street, Floor 11, Columbus, OH 45113 | 2016-02-15 |
| 1821376112 | Amber Yvonne Fisher | Home Health Aide | 9014 Us Highway 3 W, Clarksville, OH 45113 | 2011-08-03 |
| 1417105081 | Colleen Yvonne Fisher | Registered Nurse | 9014 State Route 3 West, Clarksville, OH 45113 | 2008-09-08 |
| 1053519421 | Tommy R. Tigar, M.d., Inc. | Specialist | 341 E. Main Street, Clarksville, OH 45113 | 2007-07-06 |
| 1073668802 | Clinton-warren Joint Fire & Rescue District | Ambulance | 82 Springhill Rd, Clarksville, OH 45113 | 2007-01-24 |
| 1609939222 | Dorrena Lea Deck | Nurse Practitioner | 341 E. Main St., Clarksville, OH 45113 | 2006-12-18 |
| 1063883718 | Jennifer Allen | Licensed Practical Nurse | 2556 Lebanon Rd, Clarksville, OH 45113 | 2015-10-07 |
| 1487798757 | Med A Call Corporation | Durable Medical Equipment & Medical Supplies | 87 Brittany Dr, Clarksville, OH 45113-7001 | 2007-02-19 |
| 1023439601 | Home Matters LLC | Home Health | 1132 Indian Lakes Blvd, Clarksville, OH 45113-7604 | 2013-12-26 |
| Find all providers in zip 45113 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134772536 | Jennifer Harris | Licensed Practical Nurse | 1303 W Jackson St, Clarksville, TX 75426-3579 | 2019-07-24 |
| 1811556285 | Jennica Cool | Licensed Practical Nurse | 10123 Hastings Rd, Clarksville, MI 48815-9754 | 2019-06-10 |
| 1245794775 | Samelba Patrice Lewis | Licensed Practical Nurse | 904 Poppy Dr, Clarksville, TN 37042-5912 | 2019-01-29 |
| 1295188589 | Jennifer Mcdonald-beckley | Licensed Practical Nurse | 3419 Quicksilver Ln, Clarksville, TN 37042-9524 | 2016-07-21 |
| 1437575669 | Darrell Dixon | Licensed Practical Nurse | 3812 State Route 132, Clarksville, OH 45113-9686 | 2014-03-12 |
| 1295006047 | Brenda Faye Reynolds | Licensed Practical Nurse | 1773 River Rd, Clarksville, TN 37040-7436 | 2012-01-24 |
| 1871722074 | Rhonda Lynn Neeley | Licensed Practical Nurse | 2686 State Route 132, Clarksville, OH 45113-9628 | 2009-07-09 |
| 1376780601 | Kimberly Vanveen | Licensed Practical Nurse | 391 Hawkins Rd, Clarksville, TN 37040-4318 | 2009-01-08 |
| 1942446596 | Leah Michelle Gray | Licensed Practical Nurse | 135 Westfield Ct Apt 224, Clarksville, TN 37040-5076 | 2009-01-05 |
| 1467609685 | Delores Ann Williams | Licensed Practical Nurse | 105 N Carter St, Clarksville, AR 72830-3114 | 2008-08-19 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 45113 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.