Individual
JENNIFER K SHOCKLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(503) 707-1053
(541) 512-6127
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(503) 707-1053
(541) 512-6127
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN199413
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10031539
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
313153
AZ
Other
Enumeration date
03/24/2009
Last updated
06/02/2026
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