Individual
MS. PORTIA LAJOY SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 E MARKET ST, SUITE B, GREENSBORO, NC 27401-6444
(336) 510-9393
(336) 510-1499
Mailing address
2200 E MARKET ST, SUITE B, GREENSBORO, NC 27401-6444
(336) 510-9393
(336) 510-1499
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
HC4509
NC
372600000X
Adult Companion
HC4509
NC
3747P1801X
Personal Care Attendant
HC4509
NC
374U00000X
Home Health Aide
HC4509
NC
376J00000X
Homemaker
HC4509
NC
376K00000X
Nurse's Aide
Primary
HC4509
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120005
—
NC
05
—
3419214
—
NC
05
—
6602355
—
NC
Enumeration date
01/09/2012
Last updated
09/24/2013
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