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NARDA ANN SHIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2416 REGENCY ROAD, LEXINGTON, KY 40503-2954
(859) 278-1316
(859) 276-3847
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 276-3847

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1033706
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3005862
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033706
RN
KY
01
3005862
APRN LICENSE NUMBER
KY
05
7100064140
KY
Enumeration date
10/30/2008
Last updated
02/28/2014
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