Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS KYLE SHOCKLEY, FNP
ActiveNICHOLAS KYLE SHOCKLEY, FNP is a Nurse Practitioner healthcare provider located in CARBONDALE, Illinois. NPI 1649766288 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CARBONDALE, IL
Registration Details
- NPI Number
- 1649766288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2018 (8.1329002587255 yrs)
- Last Updated
- Feb 10, 2025
- Licenses
-
209.017506 (IL)209017506 (IL)
Practice Information
- Address
-
305 W JACKSON ST STE 206CARBONDALE, IL, 629011474Browse IL providers · Browse ZIP 62901
- Phone
- 6184573006
- Fax
- 6184573007
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| DACIA R GERST | FNP | 1104874338 |
| MR. ROBERT W. DEATON JR. | NP | 1386750404 |
| B. CAROL CLARK-KUTSCHER | ANP | 1962507087 |
| MS. MAUREEN JANE KLEMME | CNP | 1194821553 |
| CHRISTINA KRAUS | NP | 1750504023 |
| MRS. FELICIA DESHA KIMBROUGH | FNP BC | 1679740708 |
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.