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

Samantha Shipp

Individual provider Family Nurse Practitioner · NPI 1104531805

Samantha Shipp is a Family Nurse Practitioner in Campbellsville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2023

Practice location Address checks out

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone: (270) 789-5794
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3018628 (KY)

Record details

NPI number1104531805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address507 Fern Dr, Campbellsville, KY 42718-9607

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