Individual
JACQUELINE DIANE TIPPETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
610 SW 2ND AVE APT 1, DANIA BEACH, FL 33004-3922
(937) 475-0952
Mailing address
610 SW 2ND AVE APT 1, DANIA BEACH, FL 33004-3922
(937) 475-0952
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11006764
FL
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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