Individual
JENNIFER S SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
216 OLIVE BRANCH RD, NASHVILLE, TN 37205-3220
(615) 327-4304
(615) 327-7940
Mailing address
216 OLIVE BRANCH RD, NASHVILLE, TN 37205-3220
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN88171
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36222661
—
TN
Enumeration date
05/03/2006
Last updated
09/12/2012
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