Johnny Shipp is a student in an organized health care education training program in Columbia, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Johnny Shipp NPI is 1558820167. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
600 EAST STADIUM BOULEVARD
COLUMBIA, MO
ZIP 65211-001
Phone: (573) 476-7780
The enumeration date for this NPI number is 3/14/2019 and was last updated on 3/14/2019.