Mrs. Jenna L Shock
MSN, APRN, PMHNP-BC | Nurse Practitioner - Psych/Mental Health
1690 Broadway, Building 19, Suite 10, Fort Wayne
Indiana, 46802-2012
260-200-4940
May or may not accept Medicare Nurse Anesthetist in Fort Wayne, Indiana.Mrs. Jenna L Shock is a Fort Wayne, Indiana based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mrs. Jenna L Shock is 71009466A for Psych/Mental Health in Indiana. Her current practice location is 1690 Broadway, Building 19, Suite 10, Fort Wayne. Patients can reach her at 260-200-4940 or can fax her at 949-404-6540. Mrs. Jenna L Shock is MSN, APRN, PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1255984738.
Mrs. Jenna L Shock provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mrs. Jenna L Shock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Jenna L Shock |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | MSN, APRN, PMHNP-BC |
| Practice Address: | 1690 Broadway, Building 19, Suite 10, Fort Wayne, Indiana, 46802-2012 |
| Phone: | 260-200-4940 |
| Fax: | 949-404-6540 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1255984738 |
| NPI Enumeration Date: | 23 Jul, 2019 |
| NPI Last Update On: | 19 May, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Jenna L Shock are as mentioned below.
| License Number | Specialization | State | Status | |
| 71009466A | Psych/Mental Health | Indiana | Primary | |
| 28184986A | Registered Nurse | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Jenna L Shock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 300031451 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Jenna L Shock 1690 Broadway, Building 19, Suite 10 Fort Wayne, Indiana |
| Zip: | 46802-2012 |
| Phone Number: | 260-200-4940 |
| Fax Number: | 949-404-6540 |
Patients can reach Mrs. Jenna L Shock at
1690 Broadway, Building 19, Suite 10, Fort Wayne, Indiana or can
call to book an appointment on 260-200-4940.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.