Jackie Shipman, MD is a
Student In An Organized Health Care Education/training Program physician based in Fredericksburg, Virginia. Jackie Shipman is licensed to practice in * (Not Available) (license number ) and her current practice location is 12101 Carol Ln Ste 101, Fredericksburg, Virginia. She can be reached at her office (for appointments etc.) via phone at
(540) 741-9300.
NPI number for Jackie Shipman is 1487399663 and her current mailing address is 608 Nw 9th St Ste 1100, Oklahoma City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487399663.
Physician's Profile
| Full Name | Jackie Shipman |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 12101 Carol Ln Ste 101, Fredericksburg, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487399663
- Provider Enumeration Date: 05/02/2022
- Last Update Date: 01/02/2026
Medical Identifiers
Medical identifiers for Jackie Shipman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487399663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 0101286384 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Shipman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jackie Shipman, MD 608 Nw 9th St Ste 1100, Oklahoma City, OK 73102-1015 Ph: (405) 272-7494 | Jackie Shipman, MD 12101 Carol Ln Ste 101, Fredericksburg, VA 22407-6104 Ph: (540) 741-9300 |
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