Individual
JODIE SHIMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11563 W 300 S, DUNKIRK, IN 47336-9044
(765) 768-7537
Mailing address
8653 S 400 W, RIDGEVILLE, IN 47380-9622
(260) 729-2623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28207602A
IN
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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