Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY SHIPP
ActiveJERRY SHIPP is a 374K00000X healthcare provider located in SAPULPA, Oklahoma. NPI 1396336822 is currently active in the NPPES registry. Verify at CMS.
374K00000X · SAPULPA, OK
Registration Details
- NPI Number
- 1396336822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2021 (5.4985536937591 yrs)
- Last Updated
- Jan 28, 2021
Practice Information
- Address
-
11680 S 153RD WEST AVESAPULPA, OK, 740668564Browse OK providers · Browse ZIP 74066
- Phone
- 9186394684
- Fax
- 9186394684
- Primary Specialty
-
374K00000X
374K00000X
Other 374K00000X Providers in SAPULPA, OK
| Name | Credential | NPI |
|---|---|---|
| KERA TAYLOR | — | 1053902783 |
| TIFFANY DAY | — | 1609467125 |
| LEON YOUNG | — | 1215528815 |
| JIM HOSKINS | — | 1013508613 |
| JOSHUA POLSTON | — | 1932790466 |
| GREGORY KIRBY | — | 1124619655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.