MR. JARED C. SHIPLEY


Address: 5520 Stewart St, Milton, FL 32570-4304
Phone: 8509819433

MR. JARED C. SHIPLEY (NPI# 1174154256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174154256
Entity Type Individual
Full Name MR. JARED C. SHIPLEY
Credential PA
Practice Address 5520 Stewart St
Milton
FL 32570-4304
Mailing Address 2315 W Jackson St
Pensacola
FL 32505-7552
Practice Telephone 8509819433
Practice Fax Number 8509819436
Mailing Telephone 8504364630
Mailing Fax Number 8504362095
Enumeration Date 2020-01-28
Last Update Date 2020-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
9112971 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCCPA 1171095 01
FL FLORIDA BOARD OF MEDICINE 9112971 01
FL BCBS FL 2PV1U 01
FL PENDING 05

Other Providers JARED SHIPLEY

NPI Name Taxonomy Address Enumeration
1194933770 Jared Adam Shipley Internal Medicine 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6652 2007-05-18

Office Location

Street Address 5520 STEWART ST
City MILTON
State FL
Zip Code 32570-4304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780646745 Diane Carolyn Hudson Family Medicine 5520 Stewart St, Milton, FL 32570-4304 2006-04-05
1619321650 Ashley Jones Mcdaniel Social Worker 5520 Stewart St, Milton, FL 32570 2016-04-15
1619335809 Andrea Nutt Social Worker 5520 Stewart St, Milton, FL 32570-4304 2016-02-03
1194058826 April Belle Archer Nurse Practitioner 5520 Stewart St, Milton, FL 32570-4304 2009-09-14
1689864035 Escambia Community Clinics, Inc Clinic/Center 5520 Stewart St, Milton, FL 32570-4304 2007-07-31
1528272168 Charlene Rogers Echols Nurse Practitioner 5520 Stewart St, Milton, FL 32570-4304 2007-05-10
1962627000 Melissa Kay Pocta Family Medicine 5520 Stewart St, Milton, FL 32570-4304 2007-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902365604 Megan Lasure Behavior Technician 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 2019-03-13
1104328681 Katherine Smith Lockler Foster Care Agency 6357 Brigadier Road, Milton, FL 32570 2018-03-01
1750565768 Emerald Coast Surgical Specialists Pa Surgery 5992 Berryhill Road, 203, Milton, FL 32570 2007-12-27
1285815662 Chandria Lynn Johnson Md Pa Obstetrics & Gynecology 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 2007-11-14
1659590255 Medical Associates Ltd Specialist 5950 Berryhill Medical, Milton, FL 32570 2007-04-24
1255404620 Jonathan E Fountain Md Family Medicine 5976 Berryhill Rd, Milton, FL 32570 2006-11-15
1043317530 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 6501 Caroline St Hwy 90, Milton, FL 32570 2006-09-19
1497764484 Jennfer A Godfrey Speech-Language Pathologist 5165 Canal Street, Milton, FL 32570 2006-08-07
1316977135 Rural Metro of North Florida Inc Ambulance 4930 Glover Lane, Milton, FL 32570 2006-07-04
1558304519 Pensacola Nephrology Pa Specialist 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 2006-06-14
Find all providers in zip 32570

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659635829 Susan Rene Ferguson Physician Assistant 5982 Berryhill Rd, Suite B, Milton, FL 32570-4001 2012-07-02
1346202595 Michelle Douglas Physician Assistant 5825 Highway 90, Milton, FL 32583-1763 2006-04-04
1215407960 Taylor Haines White Physician Assistant 5907 Berryhill Rd, Milton, FL 32570-8278 2018-11-26
1053848788 Ashley Poole Physician Assistant 611 Federal St Ste 3, Milton, DE 19968-1157 2017-05-12
1477090470 Caitlin Chantae Mosley Physician Assistant 5992 Berryhill Rd, Suite 302, Milton, FL 32570-1013 2017-01-27
1346609450 Matthew Sorsby Physician Assistant 5907 Berryhill Rd, Milton, FL 32570-8278 2016-02-17
1073940615 Kayleen M Moore Physician Assistant 100 Highland St, Suite 300, Milton, MA 02186-3881 2013-09-27
1982037438 Nnenna O Onyemauwa Physician Assistant 5907 Berryhill Rd, Milton, FL 32570-8278 2013-08-19
1477828614 Tiana Natal Nygaard Physician Assistant 5992 Berryhill Rd, 300, Milton, FL 32570-1013 2012-03-21
1235380601 Barry F Canavan Physician Assistant 100 Highland St, Suite 222, Milton, MA 02186-3881 2008-10-03
Find all providers in MILTON

Competitor

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City MILTON
Zip Code 32570

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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