Individual
MS. STEPHANIE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 W STONE DR, STE 2A, KINGSPORT, TN 37660-3256
(423) 230-2420
(423) 378-5940
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN6186
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010118239
—
VA
05
—
3346879
—
TN
05
—
7785852
—
VA
Enumeration date
05/27/2005
Last updated
03/03/2020
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