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Individual

JENNIFER K SHOCKLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC

Contact information

Practice address
535 SE WASHINGTON ST, HILLSBORO, OR 97123-4142
(503) 755-6703
(503) 755-6704
Mailing address
5401 N 104TH DR, GLENDALE, AZ 85307-4192
(623) 691-5015
(623) 691-5020

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN199413
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10031539
OR

Other

Enumeration date
03/24/2009
Last updated
04/09/2026
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