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

Jerry Shipp

Individual provider Religious Nonmedical Practitioner · NPI 1396336822

Jerry Shipp is a Religious Nonmedical Practitioner in Sapulpa, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

11680 S 153rd West Ave
Sapulpa, OK 74066-8564
Phone: (918) 639-4684
Fax: (918) 639-4684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Religious Nonmedical Practitioner (primary) Taxonomy 374K00000X

Record details

NPI number1396336822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address11680 S 153rd West Ave, Sapulpa, OK 74066-8564

Other providers in Sapulpa