Provider Demographics
NPI:1164406757
Name:SHIPMAN, ARLENE (NP)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:SHIPMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 CAROLYN AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:93631-1469
Mailing Address - Country:US
Mailing Address - Phone:559-897-5841
Mailing Address - Fax:559-897-7231
Practice Address - Street 1:3275 MCCALL AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-2551
Practice Address - Country:US
Practice Address - Phone:559-896-3808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA484123363LF0000X
CA15697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily