IndividualActive
Carson Shockley
NPI 1285561605 · Anesthesiologist Assistant · Joplin, MO
Provider details
- NPI number
- 1285561605
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1102 W 32nd St
Joplin, MO 64804-3503
Phone: (417) 347-1111
Approximate (ZIP-level) locationGet directions
Mailing address
11659 Se 10th St
Baxter Springs, KS 66713-1484
Registry dates
- Enumerated
- 2026-05-07
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.