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

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1487784559

John Coy Shaffer, RN, BC is a Psychiatric/Mental Health Registered Nurse in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

800 Scenic Dr
Modesto, CA 95350-6131
Phone: (209) 525-5393
Fax: (209) 558-4316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 332522 (CA)

Record details

NPI number1487784559
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , BC
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESNovember 22, 2016
Mailing address1749 Joel Way, Ceres, CA 95307-4305

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