Female

Ms. Lisa G. Shockley R.N., MSN

Registered Nurse in Orlando, FL(View on Map)

Full Name

Ms. Lisa Gay Shockley R.N., MSN

NPI Number

1679745582

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/31/2008

Specialties

(Taxonomies)

Code

163W00000X
251S00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

RN 2525912

Contact
Information

Purpose

Mailing
Location

Address

2915 LICHEN LN
5201 RAYMOND ST

City

Clearwater
Orlando

State

FL
FL

Postal Code

33760-4522
32803-8208

Country

US
US

Telephone Number

(727) 531-7170
(407) 646-5500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/13/2016

Provider Address

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