Shockley, Jana Lanette

Shockley, Jana Lanette is an individual health care provider with primary practice located at 1002 Wishard Blvd , Indianapolis IN 46202-4163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shockley, Jana Lanette can be contacted via phone (317) 274-4779.

Contact Information

Primary practice address
1002 Wishard Blvd Indianapolis IN 46202-4163
Phone: (317) 274-4779
Fax: (317) 948-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71002365A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 28090603A Indiana

Profile Details

NPI number 1487915468
LBN Legal business name Shockley, Jana Lanette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Feb 26th, 2026 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487915468 NPPES
Indiana MEDICAID 201074150
Indiana Other 000000795010
Indiana Other P01292378

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