Individual provider · Type 1 NPI

Nicole Shockley, CNP

Nurse Practitioner · Cloquet, MN

NPI number 1124569041 Active

Practice location

707 Highway 33 S Ste 19
Cloquet, MN 55720-2665

Fax (218) 609-1391

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4971 (MN)
Nurse Practitioner 363L00000X10568 (WI)
Registered Nurse 163W00000X1745474 (MN)
Registered Nurse 163W00000X241302 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124569041

Nicole Shockley, CNP's National Provider Identifier is 1124569041, issued on Mar 10, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cloquet, MN. The record was last updated on Oct 13, 2026.