Individual
MRS. JAELYN MURPHY SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
482 HUNTON FOREST DR NW, CONCORD, NC 28027-0084
(704) 661-7191
Mailing address
482 HUNTON FOREST DR NW, CONCORD, NC 28027-0084
(704) 661-7191
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
L004983
NC
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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