Individual
JENNIFER SHACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
492 HICKORY AVE, ORANGE CITY, FL 32763-6856
(407) 417-1986
(407) 417-1986
Mailing address
492 HICKORY AVE, ORANGE CITY, FL 32763-6856
(407) 417-1986
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003583
FL
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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