Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Marie Shackelford, PA-C

Individual provider Physician Assistant · NPI 1255893806

Jennifer Marie Shackelford, PA-C is a Physician Assistant in Wilmington, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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

601 S College Rd
Wilmington, NC 28403-3201
Phone: (910) 962-3280
Fax: (910) 962-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255893806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 3, 2019
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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