| Doctor Name: | MRS. PATRICIA W SHOCKLEY |
| NPI Number: | 1306030184 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,PNP-BC |
| License Number: | L1-0012226 |
| Business Practice Address: | 5407 Killens Pond Rd Felton, DE - 199431901 |
| Business Phone Number: | 3022843800 |
| Business Fax Number: | 3022843892 |
| Mailing Address: | 5407 Killens Pond Rd, FELTON |
| State: | DE |
| Postal Code: | 199431901 |
| Phone Number: | 3022843800 |
| Fax Number: | 3022843892 |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 09/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0200X |
| License Number: | L1-0012226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |