Nicholas Kyle Shockley, FNP
NPI #1649766288 in Carbondale, Illinois
Provider Information
- NPI Number
- 1649766288
- Entity Type
- Individual
- Name
- Nicholas Kyle Shockley, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Jul 6, 2018
- Last Updated
- Feb 10, 2025
Practice Location
- Address
- 305 W JACKSON ST STE 206
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1474
- Phone
- (618) 457-3006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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