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
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 W SLAUGHTER LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-4421
Mailing Address - Country:US
Mailing Address - Phone:512-292-6832
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:3500 W SLAUGHTER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-4421
Practice Address - Country:US
Practice Address - Phone:512-292-6832
Practice Address - Fax:512-406-6216
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136793363LW0102X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health