Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shock Therapy Group LLC

Organization Family Nurse Practitioner · NPI 1538869532

Shock Therapy Group LLC is a Family Nurse Practitioner in Fort Wayne, Indiana. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1690 Broadway Ste 10
Fort Wayne, IN 46802-4377
Phone: (260) 200-4940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1538869532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenna Shock — Owner · (260) 200-4940
NPI enumeratedMarch 8, 2023
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address14606 Bitternut Ln, Fort Wayne, IN 46814-9062

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