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Individual
KJERISTA JOANN TIPTON
Active
Individual
KJERISTA JOANN TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R0080597
OK
Other
Enumeration date
03/15/2021
Last updated
05/30/2025
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