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NPI Code Detail

MEDICARE: JESSICA SHIPMAN

MEDICARE: JESSICA SHIPMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst2026-038AL

General Provider Information

NPI Number : 1083374904
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SHIPMAN
Provider Business Mailing Address
First Line : 2151 OLD ROCKY RIDGE RD STE 100
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-7251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2151 OLD ROCKY RIDGE RD STE 100
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-7251
Country : US
Telephone Number : 205-978-9939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2021
Last Update Date : 02/12/2026

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Directions to “ JESSICA SHIPMAN ” Practice Location

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