Individual provider · Type 1 NPI

Amanda J. Shipp, NP

Nurse Practitioner · Tyler, TX

NPI number 1336757228 Active

Practice location

700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955

Mailing address

5810 Bostick Dr
Tyler, TX 75707-2025

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF06201355 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336757228

Amanda J. Shipp, NP's National Provider Identifier is 1336757228, issued on Jul 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Jul 16, 2020.