Individual
MRS. AMY J SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11200 GOVERNOR MANLY WAY, SUITE 205, RALEIGH, NC 27614-8599
(919) 570-7700
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2530
NC
207Q00000X
Family Medicine Physician
Primary
183144
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140WJ
BLUE CROSS BLUE SHIELD
NC
05
—
6107351
—
NC
Enumeration date
05/12/2006
Last updated
08/10/2021
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