MSN, APRN, PMHNP-BC | Nurse Practitioner - Psych/Mental Health
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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.