Individual
JORDAN CHRISTINE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
800 CENTRAL AVE, SARASOTA, FL 34236-4021
(941) 330-9966
Mailing address
800 CENTRAL AVE, SARASOTA, FL 34236-4021
(941) 330-9966
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM374
FL
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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