JENNIFER SHACKLEY APRN
NPI 1801739693
Nurse Practitioner - Adult Health in Orange City, FL

Q: What is Jennifer Shackley's NPI number?

The NPI number for Jennifer Shackley is 1801739693. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Q: What is Jennifer Shackley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Shackley was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 14, 2026

492 HICKORY AVE, ORANGE CITY, FL 32763(407) 417-1986(407) 417-1986 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Shackley Aprn NPPES

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

JENNIFER SHACKLEY APRN (NPI 1801739693) is an individual adult health provider in Orange City, Florida, licensed in Florida (APRN11003583) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1801739693

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJENNIFER SHACKLEYCredential: APRN

Location Address492 HICKORY AVEOrange City, FL 32763-6856

Mailing Address492 Hickory AveOrange City, FL 32763-6856 · (407) 417-1986

Phone(407) 417-1986

Fax(407) 417-1986

Sole ProprietorNo

Enumeration DateApril 14, 2026

NPPES CertifiedApril 14, 2026

✔ NPI 1801739693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11003583

492 HICKORY AVE, Orange City, FL 32763

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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 Jennifer Shackley's NPI number?

The NPI number for Jennifer Shackley is 1801739693. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Jennifer Shackley located?

Jennifer Shackley practices at 492 Hickory Ave, Orange City, FL 32763. The listed phone number is (407) 417-1986.

What is Jennifer Shackley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jennifer Shackley was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.