Individual
MRS. TIFFANY DAWN LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AANP, APRN, NP-C
Contact information
Practice address
2903 W BRITTON RD, OKLAHOMA CITY, OK 73120-4433
(405) 849-4650
Mailing address
1101 JUNO CIR, EDMOND, OK 73003-6064
(405) 550-9426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204971
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204971
BOARD OF NURSING
OK
Enumeration date
08/10/2021
Last updated
05/19/2022
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