IndividualActive
Charlotte Shackelford, PAC
NPI 1366601015 · Physician Assistant · Purcell, OK
Provider details
- NPI number
- 1366601015
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 746 (OK)
Practice location
1401 N 4th Ave
Suite 201
Purcell, OK 73080-1806
Phone: (405) 527-5400
Fax: (405) 527-7332
Mailing address
1401 N 4th Ave
Purcell, OK 73080-1806
Registry dates
- Enumerated
- 2008-06-07
- Last updated
- 2011-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.