| Doctor Name: | MS. CLARISSA SHIPOWICK |
| NPI Number: | 1467616961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | ARNP 9275746 |
| Business Practice Address: | 1114 Se Date Ave College Place, WA - 993241638 |
| Business Phone Number: | 5095222747 |
| Business Fax Number: | |
| Mailing Address: | 1114 Se Date Ave, COLLEGE PLACE |
| State: | WA |
| Postal Code: | 993241638 |
| Phone Number: | 5095222747 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2008 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | ARNP 9275746 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |