JENNA L SHOCK

FORT WAYNE, IN
NPI1255984738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71009466A)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: IN  28184986A)
Enumeration Date2019-07-23
Last Update Date2023-05-19
Business Address
Mrs. JENNA L SHOCK MSN, APRN, PMHNP-BC
1690 BROADWAY BUILDING 19, SUITE 10
FORT WAYNE, IN 46802-2012
Phone number: 260-200-4940
Mailing Address
Mrs. JENNA L SHOCK MSN, APRN, PMHNP-BC
1690 BROADWAY BUILDING 19, SUITE 10
FORT WAYNE, IN 46802-2012
Phone number: 260-200-4940
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SHOCK THERAPY GROUP LLC