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Individual
JENNIFER SHIPPEY
Active
Individual
JENNIFER SHIPPEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300005594
—
NY
01
—
346850
MVP
NY
Enumeration date
10/04/2006
Last updated
03/07/2023
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