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Individual

JACQUELINE R SHIPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3441
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
812
WV
363AS0400X
Surgical Physician Assistant
812
WV

Other

Enumeration date
05/31/2016
Last updated
05/01/2024
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