Individual
MARY TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MS, RDN
Contact information
Practice address
9868 SHERBROOK LN, JACKSONVILLE, FL 32221-1264
(912) 504-1659
Mailing address
9868 SHERBROOK LN, JACKSONVILLE, FL 32221-1264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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