Provider Demographics
NPI:1467943985
Name:SHIPP, CANDICE RAMONA (APRN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:RAMONA
Last Name:SHIPP
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
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Mailing Address - Street 1:6210 E HWY 290
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1142
Mailing Address - Country:US
Mailing Address - Phone:512-483-9596
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:22420 IH 35 STE 203
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2656
Practice Address - Country:US
Practice Address - Phone:737-404-0347
Practice Address - Fax:512-406-6295
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP136793363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health