Individual
AMANDA J SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 850, TYLER, TX 75701-1955
(903) 595-2441
Mailing address
5810 BOSTICK DR, TYLER, TX 75707-2025
(903) 738-8219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06201355
TX
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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