Shackley, Jennifer

Shackley, Jennifer is an individual health care provider with primary practice located at 492 Hickory Ave , Orange City FL 32763-6856. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Shackley, Jennifer can be contacted via phone (407) 417-1986.

Contact Information

Primary practice address
492 Hickory Ave Orange City FL 32763-6856
Phone: (407) 417-1986
Fax: (407) 417-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11003583 Florida

Profile Details

NPI number 1801739693
LBN Legal business name Shackley, Jennifer
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2026
Last updated Apr 14th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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