SearchArkansas363A00000X

Timothy Shipp, PA-C

NPI 1780938951 · on the registry since 2012 · sole proprietor

Practice

Address
101 Msgt Dan Wassom Road
Little Rock Afb, AR 72099
Phone
(501) 987-6951
Clinicians at this address
2

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas