Most Relevant Information
Provider Data
| NPI Number: | 1003230731 |
| Provider Name: | VICTORIA JEAN SHIPMAN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3008346 |
Most Important Dates
| Enumeration Date: | 02/17/2014 |
| Last Updated: | 03/05/2021 |
Provider Practice Location
315 E BROADWAY FL 4
LOUISVILLE
KY
402023700
Practice Location Phone/Fax
| Phone: | 5026292500 |
| Fax: |
Provider Mailing Location
PO BOX 776347
CHICAGO
IL
606776347
Provider Mailing Phone/Fax
| Phone: | 5022725063 |
| Fax: | 5022725339 |