License Search: Details

Name Title Primary Practice Location Licensed Or Has Been Licensed In
Jacqueline Renae Shipman PA Bridgeport, WV MD, RI

License History

License Type License Number Status License Date Expiration Date
PPA 812 Active 09/11/2000 3/31/2027
Controlled Substance Dispensing 4121 Active 01/18/2024 03/31/2027

Education History

School Date Completed Nature of Training
Alderson Broaddus College 05/10/1987 Physician Assistant School

Discipline/Board Action History

Discipline/Board Action Type of Action Action Date Public Documents
Yes Other License Action 6/3/2016
Yes Termination of Consent Order 1/12/2017

Malpractice History

No Malpractice Cases On Record

Current Authorizations to Practice

Collaborating Physician Authorized to Practice Authorized to Prescribe Primary Work Location Designated Alternate Supervisor(s)
Practice  Notification, 12/11/2023 Yes Davis Medical Center
812 Gorman Avenue
Elkins, WV 26241
Practice  Notification, 12/17/2025 Yes UHC Gastroenterology
527 Medical Park Drive
Bridgeport, WV 26330

This data was retrieved on 4/17/2026.

The West Virginia Board of Medicine is the sole authority for the issuance of licenses to practice medicine and surgery, to practice podiatry, and to practice as a physician assistant in collaboration with MDs and DPMs in the State of West Virginia, and is the regulatory and disciplinary body for medical doctors, podiatric physicians and their physician assistants.

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