Tipton, Jeffrey P

Tipton, Jeffrey P is an individual health care provider with primary practice located at 15200 Community Rd , Gulfport MS 39503-3085. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Tipton, Jeffrey P can be contacted via phone (228) 575-7112.

Contact Information

Primary practice address
15200 Community Rd Gulfport MS 39503-3085
Phone: (228) 575-7112
Fax: (228) 575-7190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R857207 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R857207 Mississippi

Profile Details

NPI number 1316257116
LBN Legal business name Tipton, Jeffrey P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2010
Last updated May 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316257116 NPPES
Mississippi MEDICAID 04684771

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