Individual
ELIZABETH ANN SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18877 JEB STUART HWY, STUART, VA 24171-5223
(276) 694-4466
Mailing address
18981 JEB STUART HWY, STUART, VA 24171-5146
(276) 694-4416
(276) 694-4308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024164686
VA
363L00000X
Nurse Practitioner
5010297
NC
363LF0000X
Family Nurse Practitioner
Primary
00241646863
VA
363LF0000X
Family Nurse Practitioner
5010297
NC
Other
Enumeration date
07/07/2005
Last updated
05/10/2023
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