IndividualActive
Jerry Shipp
NPI 1396336822 · Religious Nonmedical Practitioner · Sapulpa, OK
Provider details
- NPI number
- 1396336822
- Entity type
- Individual
- Primary specialty
- Religious Nonmedical PractitionerNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
11680 S 153rd West Ave
Sapulpa, OK 74066-8564
Phone: (918) 639-4684
Fax: (918) 639-4684
Approximate (ZIP-level) locationGet directions
Mailing address
11680 S 153rd West Ave
Sapulpa, OK 74066-8564
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.