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

Jennifer Lackie-Shook, RN

Individual provider Registered Nurse · NPI 1831051614

Jennifer Lackie-Shook, RN is a Registered Nurse in West Middletown, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

15 Fortune Rd
West Middletown, NY 10941
Phone: (914) 297-3345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 945965 (NY)

Record details

NPI number1831051614
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 1, 2025
Last updated in NPPESDecember 1, 2025
Certification dateNovember 17, 2025

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