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NPI Code Detail

MEDICARE: SHAWNA RENEE SHIPMAN ARNP

MEDICARE: SHAWNA RENEE SHIPMAN ARNP
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
1363LF0000XFamily Nurse Practitioner76268OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639444532
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA RENEE SHIPMAN ARNP
Provider Business Mailing Address
First Line : 100 N HICKERSON DR
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-4003
Country : US
Telephone Number : 918-358-1600
Fax Number : 918-358-5402
Provider Business Practice Location Address
First Line : 1400 W PAWNEE ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-3020
Country : US
Telephone Number : 918-358-3588
Fax Number : 918-358-2639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2012
Last Update Date : 12/14/2021

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