JENNA SHOCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031882

License Status

ACTIVE

Business

First Name

JENNA

Last Name

SHOCK

Business Name

JENNA SHOCK

Original Issue Date

03/11/2025

Effective Date

03/11/2025

Expiration Date

05/31/2026

City

FORT WAYNE

State

Zip

46802

Ever Disciplined

LastModifiedDate

03/02/2026