Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLOTTE L SHACKELFORD, PAC
ActivePhysician Assistant · PURCELL, OK
Registration Details
- NPI Number
- 1366601015
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2008 (17.872904391932 yrs)
- Last Updated
- Jul 18, 2011
- License
-
746 (OK)
Practice Information
- Address
-
1401 N 4TH AVESUITE 201PURCELL, OK, 730801806Browse OK providers · Browse ZIP 73080
- Phone
- 4055275400
- Fax
- 4055277332
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PURCELL, OK
| Name | Credential | NPI |
|---|---|---|
| SHAWN BRIDWELL | PA | 1932187382 |
| TONJA SHANDY | P.A.- C | 1235152737 |
| MS. CAROL JEAN MCCARTY | PA | 1336390574 |
| MS. TIMARA LEIGH STELLING | P.A. | 1235595240 |
| AMY ALANE MIKLES | PA-C | 1063983740 |
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.