Provider Demographics
NPI:1942830716
Name:SHOCKLEY, ALAINA BROOKE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ALAINA
Middle Name:BROOKE
Last Name:SHOCKLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-6999
Mailing Address - Country:US
Mailing Address - Phone:256-860-4100
Mailing Address - Fax:256-752-0026
Practice Address - Street 1:45 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-6999
Practice Address - Country:US
Practice Address - Phone:256-860-4100
Practice Address - Fax:256-752-0026
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-137543363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily