| Emily J Shockley, NP | |
|
1501 N 8th St, Noble, OK 73068-9397 | |
| (405) 872-7102 | |
| Not Available |
| Full Name | Emily J Shockley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1501 N 8th St, Noble, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477260891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 210464 (Oklahoma) | Primary |
| Entity Name | Comprehensive Rehab Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20220218000610 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily J Shockley, NP 909 River Run Dr, Noble, OK 73068-8619 Ph: () - | Emily J Shockley, NP 1501 N 8th St, Noble, OK 73068-9397 Ph: (405) 872-7102 |
Mr. Brian Travis Pendarvis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Main Street, Noble, OK 73068 Phone: 405-872-5403 Fax: 405-872-5407 | |
Drew W Woodrow, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8201 102nd St, Noble, OK 73068 Phone: 405-370-3139 | |
Dawnita R Randolph, MSN, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8703 80th St, Noble, OK 73068 Phone: 405-820-5857 |