Individual
JANA LANETTE SHOCKLEY
Active
Individual
JANA LANETTE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28090603A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71002365A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000795010
ANTHEM
IN
05
—
201074150
—
IN
01
—
P01292378
RAILROAD MEDICARE
IN
Enumeration date
06/06/2012
Last updated
02/26/2026
Update your record
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