LOGAN JAY SHOCKLEY

ROLLA, MO
NPI1295374148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2020003116)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MO  2016022013)
Enumeration Date2019-12-24
Last Update Date2025-03-20
Business Address
Mrs. LOGAN JAY SHOCKLEY FNP-C
1060 W 10TH ST
ROLLA, MO 65401-2905
Phone number: 855-406-3324
Mailing Address
Mrs. LOGAN JAY SHOCKLEY FNP-C
1050 W 10TH ST
ROLLA, MO 65401-2905
Phone number: 573-364-9000