Individual
EMILY J SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 N 8TH ST, NOBLE, OK 73068-9397
(405) 872-7102
Mailing address
909 RIVER RUN DR, NOBLE, OK 73068-8619
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
210464
OK
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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