Individual provider · Type 1 NPI
Jenna Lizabeth Shock, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1255984738
Active
Practice location
5743 Wilkie Dr Ste 3
Fort Wayne, IN 46804-8905
Fax (949) 404-6540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28184986A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71009466A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1255984738
Jenna Lizabeth Shock, MSN, APRN, PMHNP-BC's National Provider Identifier is 1255984738, issued on Jul 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 21, 2026.