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

Jori L Shore

Individual provider Family Nurse Practitioner · NPI 1013994532

Jori L Shore is a Physician Assistant in Eagan, Minnesota. Qualified in 2000, 26 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2005
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Practice location Address checks out

1885 Plaza Dr Park Nicollet Clinic - Eagan
Eagan, MN 55122-2612
Phone: (952) 993-4001
Fax: (952) 993-4075
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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 · Licence 9596 (MN)

Record details

NPI number1013994532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESMay 8, 2015
Mailing address6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Eagan