| NPI | 1295283299 |
|---|---|
| Former Name | DARCHELLE ANN SHOCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 5377117111) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002409) |
| 363L00000X Nurse Practitioner (Licence: KS 5377117111) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2022-01-01 |