Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Shipman, MD

Individual provider Family Medicine Physician · NPI 1487399663

Jackie Shipman, MD is a Family Practice in Fredericksburg, Virginia. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12101 Carol Ln Ste 101
Fredericksburg, VA 22407-6104
Phone: (540) 741-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 608 Nw 9th St Ste 1100, Oklahoma City, OK 73102-1015 — (405) 231-3000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101286384 (VA)

Record details

NPI number1487399663
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address608 Nw 9th St Ste 1100, Oklahoma City, OK 73102-1015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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