Individual
JAMI D SHOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 347-5097
(816) 347-5045
Mailing address
PO BOX 412431, KANSAS CITY, MO 64141-2431
(816) 347-5097
(816) 347-5045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013019719
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2019019035
MO
Other
Enumeration date
04/30/2019
Last updated
06/12/2019
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