Jennifer Tom Shipp in Santa Rosa - Family
Jennifer Tom Shipp - NPI 1245331271
Jennifer Tom Shipp is a Family in Santa Rosa, California. Jennifer Tom Shipp practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Tom Shipp is 1245331271. The last update date is 2020-07-09.
Jennifer Tom Shipp's current location address is 439 College Ave, Santa Rosa, California. You can contact this provider via phone number 7075474684 and fax number 7075857925. The mailing address for Jennifer Tom Shipp is 439 College Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Tom Shipp |
|---|---|
| Address | 439 College Ave, Santa Rosa, California |
| Phone Number | 7075474684 |
| Fax Number | 7075857925 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1245331271 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-07-09 |
Provider Mailing Address Detail
| Address | 439 College Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954015119 |
| Phone Number | 7075474684 |
| Fax Number | 7075857925 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4494 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1538334065 | CA | -- |
Post Comment/ Review Below
What is the Jennifer Tom Shipp's 1245331271?
The Jennifer Tom Shipp's NPI (National Provider Identifier) Number is 1245331271. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jennifer Tom Shipp is physically located?
The Jennifer Tom Shipp is physically situated at the following address: 439 College Ave, Santa Rosa, CA, 954015119.
What is Jennifer Tom Shipp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Tom Shipp is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245331271 to Jennifer Tom Shipp?
The Jennifer Tom Shipp received its 1245331271 assignment from the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details pertaining to Jennifer Tom Shipp last refreshed?
The information related to the Jennifer Tom Shipp, including its address, specialty, and other relevant details, was last updated on 2020-07-09.