JESSICA JULIA SHACKELFORD PMHNP-C
NPI 1316770274
Nurse Practitioner - Psychiatric/Mental Health in Sanger, CA

Q: What is Jessica Shackelford's NPI number?

The NPI number for Jessica Shackelford is 1316770274. It was assigned to this individual provider in the NPPES registry on August 24, 2024.

Q: What is Jessica Shackelford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 24, 2024

6366 BIG OAK RD, SANGER, CA 93657(559) 836-7159 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Julia Shackelford Pmhnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA JULIA SHACKELFORD PMHNP-C (NPI 1316770274) is an individual psychiatric/mental health provider in Sanger, California, licensed in California (95031821) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1316770274

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA JULIA SHACKELFORDCredential: PMHNP-C

Location Address6366 BIG OAK RDSanger, CA 93657-9048

Mailing Address6366 Big Oak RdSanger, CA 93657-9048 · (559) 836-7159

Phone(559) 836-7159

Sole ProprietorNo

Enumeration DateAugust 24, 2024

NPPES CertifiedAugust 24, 2024

✔ NPI 1316770274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95031821

6366 BIG OAK RD, Sanger, CA 93657

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Shackelford's NPI number?

The NPI number for Jessica Shackelford is 1316770274. It was assigned to this individual provider in the NPPES registry on August 24, 2024.

Where is Jessica Shackelford located?

Jessica Shackelford practices at 6366 Big Oak Rd, Sanger, CA 93657. The listed phone number is (559) 836-7159.

What is Jessica Shackelford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jessica Shackelford was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.