Individual provider · Type 1 NPI

Jerry Shipp

Religious Nonmedical Practitioner · Sapulpa, OK

NPI number 1396336822 Active

Practice location

11680 S 153rd West Ave
Sapulpa, OK 74066-8564

Call (918) 639-4684 Map

Fax (918) 639-4684

Specialties and licenses

TaxonomyCodeLicense
Religious Nonmedical Practitioner Primary 374K00000XNone listed

Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.

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About NPI 1396336822

Jerry Shipp's National Provider Identifier is 1396336822, issued on Jan 28, 2021. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Sapulpa, OK. The record was last updated on Jan 28, 2021.