Emily J Shockley, NP | |
1501 N 8th St, Noble, OK 73068-9397 | |
(405) 872-7102 | |
Not Available |
Full Name | Emily J Shockley |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 1501 N 8th St, Noble, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477260891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 210464 (Oklahoma) | Primary |
Entity Name | Comprehensive Rehab Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20220218000610 |
Mailing Address | Practice Location Address |
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Emily J Shockley, NP 909 River Run Dr, Noble, OK 73068-8619 Ph: () - | Emily J Shockley, NP 1501 N 8th St, Noble, OK 73068-9397 Ph: (405) 872-7102 |
Mr. Brian Travis Pendarvis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Main Street, Noble, OK 73068 Phone: 405-872-5403 Fax: 405-872-5407 | |
Drew W Woodrow, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8201 102nd St, Noble, OK 73068 Phone: 405-370-3139 | |
Dawnita R Randolph, MSN, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8703 80th St, Noble, OK 73068 Phone: 405-820-5857 |