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

Patrice A Shackle

Individual provider Case Manager/Care Coordinator · NPI 1275027617

Patrice A Shackle is a Case Manager/Care Coordinator in Mount Vernon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

117 W High St
Mount Vernon, OH 43050-2425
Phone: (740) 392-9491
Fax: (740) 392-9165
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)
Peer Specialist Taxonomy 175T00000X (OH)

Record details

NPI number1275027617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJuly 21, 2022

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