Shockley, Nicole

Shockley, Nicole is an individual health care provider with primary practice located at 4325 Grand Ave , Duluth MN 55807-2730. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shockley, Nicole can be contacted via phone (218) 722-1497.

Contact Information

Primary practice address
4325 Grand Ave Duluth MN 55807-2730
Phone: (218) 722-1497
Fax: (218) 722-6239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1745474 Minnesota
Nursing Service Providers / Registered Nurse 163W00000X 241302 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10568 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4971 Minnesota

Profile Details

NPI number 1124569041
LBN Legal business name Shockley, Nicole
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Jan 30th, 2024 - about 2 years 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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