Individual
CRYSTAL TIPPETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
440 N DUNCAN BYP, UNION, SC 29379-8604
(864) 424-9576
Mailing address
5 MOORLAND WAY, SIMPSONVILLE, SC 29681-7125
(864) 884-9626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24404
SC
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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