Individual
JANA LANETTE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 274-4779
(317) 948-9806
Mailing address
PO BOX 713577, CHICAGO, IL 60677-0403
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
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