Individual
SAMANTHA SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 789-5794
Mailing address
507 FERN DR, CAMPBELLSVILLE, KY 42718-9607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018628
KY
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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