Individual provider · Type 1 NPI

Roger Dwayne Shockey Sr., FNP

Family Nurse Practitioner · Johnson City, TN

NPI number 1992240808 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Mailing address

828 Winchester Dr
Greeneville, TN 37743-6050

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPN0000022052 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1992240808

Roger Dwayne Shockey Sr., FNP's National Provider Identifier is 1992240808, issued on Jan 1, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TN. The record was last updated on Jan 1, 2017.