Individual provider · Type 1 NPI

Samantha Shipp

Family Nurse Practitioner · Campbellsville, KY

NPI number 1104531805 Active

Practice location

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615

Call (270) 789-5794 Map

Mailing address

507 Fern Dr
Campbellsville, KY 42718-9607

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3018628 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104531805

Samantha Shipp's National Provider Identifier is 1104531805, issued on Jan 17, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Campbellsville, KY. The record was last updated on Jan 17, 2023.