Individual provider · Type 1 NPI

Jennifer Shackley, APRN

Adult Health Nurse Practitioner · Orange City, FL

NPI number 1801739693 Active

About NPI 1801739693

Jennifer Shackley, APRN's National Provider Identifier is 1801739693, issued on Apr 14, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orange City, FL. The record was last updated on Apr 14, 2026.