Individual
ELEANOR T KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
525 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-1406
(252) 744-4270
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000173093
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14608
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012234
NC
Other
Enumeration date
01/13/2010
Last updated
06/18/2025
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