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

Jada Rene Shockley, PA-C

Individual provider Medical Physician Assistant · NPI 1750261384

Jada Rene Shockley, PA-C is a Medical Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088
Phone: (904) 245-8910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1750261384
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

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