Individual provider · Type 1 NPI

Jessica Shacklett, APRN

Family Nurse Practitioner · Bradenton, FL

NPI number 1467067371 Active

Practice location

316 Manatee Ave W
Bradenton, FL 34205-8805

Fax (941) 748-1958

Mailing address

367 S Gulph Rd; Att Ipm Credentialing
King Of Prussia, PA 19406-3121

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11009058 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1467067371

Jessica Shacklett, APRN's National Provider Identifier is 1467067371, issued on Sep 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bradenton, FL. The record was last updated on Nov 3, 2021.