Individual
JEAN NICOLE TIPPITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
849 VOLUNTEER DR, PARIS, TN 38242-5482
(731) 642-3600
(731) 642-6037
Mailing address
849 VOLUNTEER DR, PARIS, TN 38242-5482
(731) 642-3600
(731) 642-6037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508500
GROUP MEDICAID
TN
01
—
39224262
GROUP MEDICVARE
TN
05
—
Q015397
—
TN
Enumeration date
06/25/2015
Last updated
08/22/2016
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