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Individual

SHAWNA RENEE SHIPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1400 W PAWNEE ST, CLEVELAND, OK 74020-3020
(918) 358-3588
(918) 358-2639
Mailing address
100 N HICKERSON DR, CLEVELAND, OK 74020-4003
(918) 358-1600
(918) 358-5402

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76268
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200443320A
OK
Enumeration date
03/12/2012
Last updated
12/14/2021
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