Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA JULIA SHACKELFORD, PMHNP-C
ActiveJESSICA JULIA SHACKELFORD, PMHNP-C is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SANGER, California. NPI 1316770274 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SANGER, CA
Registration Details
- NPI Number
- 1316770274
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2024 (2.0191921063068 yrs)
- Last Updated
- Aug 24, 2024
- License
-
95031821 (CA)
Practice Information
- Address
-
6366 BIG OAK RDSANGER, CA, 936579048Browse CA providers · Browse ZIP 93657
- Phone
- 5598367159
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.