| Christina Jean Shockley, FNP-C, PMHNP-BC | |
|
1750 Market Dr Ste H, Dickinson, ND 58601-6181 | |
| (701) 456-1221 | |
| (701) 888-5313 |
| Full Name | Christina Jean Shockley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1750 Market Dr Ste H, Dickinson, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043824501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R33717 (North Dakota) | Primary |
| 207Q00000X | Family Medicine | R33717 (North Dakota) | Secondary |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
| Entity Name | Innovative Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437859782 PECOS PAC ID: 2062872682 Enrollment ID: O20230714000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Jean Shockley, FNP-C, PMHNP-BC 1750 Market Dr Ste H, Dickinson, ND 58601-6181 Ph: (701) 456-1221 | Christina Jean Shockley, FNP-C, PMHNP-BC 1750 Market Dr Ste H, Dickinson, ND 58601-6181 Ph: (701) 456-1221 |
Crystal Jean Sullivan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 193 24th St E Ste 102, Dickinson, ND 58601 Phone: 701-225-3536 | |
Chandra Jo Urlacher, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Megan Gietzen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-483-6666 Fax: 701-483-6667 | |
April Berger, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Erica Wald, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Paige Hood, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-483-6666 Fax: 701-483-6667 |