Tipton, Trea Austin

Tipton, Trea Austin is an individual health care provider with primary practice located at 1932 Alcoa Hwy Ste 270 , Knoxville TN 37920. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Tipton, Trea Austin can be contacted via phone (865) 251-4658.

Contact Information

Primary practice address
1932 Alcoa Hwy Ste 270 Knoxville TN 37920
Fax: (865) 251-4659
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 24632 Tennessee

Profile Details

NPI number 1437629334
LBN Legal business name Tipton, Trea Austin
Credentials MSN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2018
Last updated Oct 10th, 2023 - about 2 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 1437629334 NPPES
Tennessee MEDICAID Q047707

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