Shipley, Jennifer Laura

Shipley, Jennifer Laura is an individual health care provider with primary practice located at 1995 Four Mile Dr , Kalispell MT 59901-7113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shipley, Jennifer Laura can be contacted via phone (406) 261-1847.

Contact Information

Primary practice address
1995 Four Mile Dr Kalispell MT 59901-7113
Phone: (406) 261-1847
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 136072 Maryland

Profile Details

NPI number 1972752566
LBN Legal business name Shipley, Jennifer Laura
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Apr 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972752566 NPPES
Maryland MEDICAID 019019500

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