Doctor Name: | VICTORIA JEAN SHIPMAN |
NPI Number: | 1003230731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3008346 |
Business Practice Address: | 3991 Dutchmans Ln 310 Louisville, KY - 402074700 |
Business Phone Number: | 5028996782 |
Business Fax Number: | |
Mailing Address: | Po Box 950202, LOUISVILLE |
State: | KY |
Postal Code: | 402950202 |
Phone Number: | 5025889490 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2014 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3008346 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |