| NPI | 1982401527 |
|---|---|
| Other Name | CHRISTINA JEAN SHOCKLEY SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA JEAN SHOCKLEY Owner/Practitioner 701-495-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-03-01 |
| Last Update Date | 2025-12-11 |