Tipton, Stephanie

Tipton, Stephanie is an individual health care provider with primary practice located at 105 W Stone Dr Ste 2A, Kingsport TN 37660-3256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tipton, Stephanie can be contacted via phone (423) 230-2420.

Contact Information

Primary practice address
105 W Stone Dr Ste 2A Kingsport TN 37660-3256
Phone: (423) 230-2420
Fax: (423) 378-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN6186 Tennessee

Profile Details

NPI number 1689677395
LBN Legal business name Tipton, Stephanie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 3rd, 2020 - about 4 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 1689677395 NPPES
Virginia MEDICAID 010118239
Virginia MEDICAID 3346879
Virginia MEDICAID 7785852

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