NPI 1427447739

Delois Shipp

Practitioner Physical Disabilities Residential Treatment Facility Jacksonville, FL

Practice location

Address: 8942 6th Ave, Jacksonville, FL 32208-2126
Phone: (904) 766-1850

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence AF33 (FL)

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1427447739
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2015
Record last updated: 10 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.