Individual provider · Type 1 NPI
Jodie Shipley, DNP
Psychiatric/Mental Health Nurse Practitioner · Maryville, IL
NPI number
1811603376
Active
Practice location
6805 Il 162, Suite 201
Maryville, IL 62062
Mailing address
7955 Lebanon Rd
Troy, IL 62294-2805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209027059 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1811603376
Jodie Shipley, DNP's National Provider Identifier is 1811603376, issued on Jan 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Maryville, IL. The record was last updated on Aug 13, 2026.