Provider Demographics
NPI:1306578893
Name:SHIPPY, MORGAN G (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:G
Last Name:SHIPPY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 STRAWBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:MO
Mailing Address - Zip Code:64076-5384
Mailing Address - Country:US
Mailing Address - Phone:816-787-4745
Mailing Address - Fax:
Practice Address - Street 1:672 SE BAYBERRY LN STE 101
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4262
Practice Address - Country:US
Practice Address - Phone:816-281-7558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR105174163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant