Individual
JESSICA NICOLE TIPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5559 INWOOD DR, COLUMBUS, IN 47201-9755
(812) 342-5150
Mailing address
7148 SYCAMORE RUN DR, INDIANAPOLIS, IN 46237-9438
(260) 224-7953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28232363A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010776A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71010776A
APRN PRESCRIPTIVE AUTHORITY
IN
Enumeration date
01/26/2021
Last updated
01/26/2021
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