Individual
JENNIFER LAURA SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1995 FOUR MILE DR, KALISPELL, MT 59901-7113
(406) 261-1847
Mailing address
1995 FOUR MILE DR, KALISPELL, MT 59901-7113
(406) 261-1847
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
136072
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019019500
—
MD
Enumeration date
09/18/2008
Last updated
04/01/2024
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