Individual provider · Type 1 NPI

Jennifer Marie Shackelford, PA-C

Physician Assistant · Wilmington, NC

NPI number 1255893806 Active

Practice location

601 S College Rd
Wilmington, NC 28403-3201

Call (910) 962-3280 Map

Fax (910) 962-4130

Mailing address

4621 Runaway Bay Ln
Wilmington, NC 28405-5700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255893806

Jennifer Marie Shackelford, PA-C's National Provider Identifier is 1255893806, issued on Apr 3, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 29, 2025.