JENNIFER TOM SHIPP FNP
NPI 1245331271
Nurse Practitioner - Family in Santa Rosa, CA

Active since September 25, 2006
439 COLLEGE AVE, SANTA ROSA, CA 95401(707) 547-4684(707) 585-7925 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2020, Dec 4, 2018 (2 updates tracked since 2018).

About Jennifer Tom Shipp Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER TOM SHIPP FNP (NPI 1245331271) is an individual family provider in Santa Rosa, California, licensed in California (4494) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1245331271
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER TOM SHIPPCredential: FNP
Location Address439 COLLEGE AVESanta Rosa, CA 95401-5119
Mailing Address439 College AveSanta Rosa, CA 95401-5119 · (707) 547-4684 · Fax (707) 585-7925
Fax(707) 585-7925
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1245331271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 4494
439 COLLEGE AVE, Santa Rosa, CA 95401

Other Identifiers 2

Medicaid1538334065CA
Other237310613CA · Ein

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
439 COLLEGE AVE
SANTA ROSA, CA 95401
Family Medicine (Hospice and Palliative Medicine)
439 COLLEGE AVE
SANTA ROSA, CA 95401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shipp's NPI number?

The NPI number for Jennifer Shipp is 1245331271. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Jennifer Shipp located?

Jennifer Shipp practices at 439 College Ave, Santa Rosa, CA 95401. The listed phone number is (707) 547-4684.

What is Jennifer Shipp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Shipp was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.