Jennifer Laura Shipley
PNP | Pediatrics | Female
Jennifer Laura Shipley, PNP is a Frederick, Maryland based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jennifer Laura Shipley is
1475 Taney Ave, Ste 201, Frederick, Maryland - 21702-4747. She can be contacted on phone at
301-662-1930 and fax number 240-379-6710.
Jennifer Laura Shipley is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Laura Shipley is
1972752566 which was assigned by NPPES on 18 Sep, 2008 and it was last updated on 21 Jun, 2010.
Jennifer Laura Shipley license number is
R149088 for Pediatrics (208000000X) in Maryland.
Jennifer Laura Shipley is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer Laura Shipley basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Laura Shipley |
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| Credential : | PNP |
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| Gender : | Female |
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Business Address:
Jennifer Laura Shipley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1475 Taney Ave, Ste 201
Frederick, MD, 21702-4747
United States |
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| Phone Number : | 301-662-1930 |
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| Fax Number : | 240-379-6710 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972752566 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Sep, 2008 |
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| Last Updated On : | 21 Jun, 2010 |
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Medicare Participation:
Jennifer Laura Shipley participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9335394212 |
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| Medicare Enrollment ID : | I20190213001675 |
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| Primary Specialty : | Nurse Practitioner |
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| Medical School : | University Of Maryland School Of Medicine |
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| Graduation Year : | 2008 |
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| Accepts Medicare? | Yes. Jennifer Laura Shipley accepts medicare insurance. |
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Group Practice Association:
Jennifer Laura Shipley is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jennifer Laura Shipley is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Kalispell Regional Medical Center Inc | 5294644381 | 366 | 200 Commons Way
Suite C
Kalispell, MT - 599011915
Ph: 4067525095 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Laura Shipley are as mentioned. Primary taxonomy code for Jennifer Laura Shipley, PNP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | R149088 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Laura Shipley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 019019500 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1475 Taney Ave, Ste 201
Frederick, MD, 21702-4747
United States |
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| Phone Number : | 301-662-0133 |
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| Fax Number : | 240-379-6710 |
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Business Location:
Patients can refer following map for directions to
Jennifer Laura Shipley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.