Individual
ASHLEY SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
920 UNIVERSITY ST, MARTIN, TN 38237-1605
(731) 588-5829
Mailing address
1558 WINSTON RD, MC KENZIE, TN 38201-6253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
82017
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82017
LPN
TN
Enumeration date
03/15/2017
Last updated
03/15/2017
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