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Individual

ANGELA R TIPPITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
126 W PARIS ST, HUNTINGDON, TN 38344-3608
(731) 535-3600
(731) 535-3603
Mailing address
PO BOX 506, HUNTINGDON, TN 38344-0506
(731) 425-5752
(731) 425-5783

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18636
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q014557
TN
Enumeration date
04/10/2014
Last updated
04/30/2022
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