Individual
KIMBERLY-ANN O. SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
915 OLENTANGY RIVER RD, COLUMBUS, OH 43212
(614) 293-8155
(614) 293-3565
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 366-2130
(614) 293-3565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022448
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.022448
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301783
—
OH
Enumeration date
04/27/2018
Last updated
08/28/2018
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