IndividualActive
Jaelyn Shipman, RD
NPI 1265156665 · Sports Dietetics Nutrition Registered Dietitian · Concord, NC
Provider details
- NPI number
- 1265156665
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- L004983 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
482 Hunton Forest Dr Nw
Concord, NC 28027-0084
Phone: (704) 661-7191
Approximate (ZIP-level) locationGet directions
Mailing address
482 Hunton Forest Dr Nw
Concord, NC 28027-0084
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.