Individual
SAMANTHA KAY TIPPIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
537 CLAYMONT PLACE DR, BALLWIN, MO 63011-2553
(636) 751-3320
Mailing address
537 CLAYMONT PLACE DR, BALLWIN, MO 63011-2553
(636) 751-3320
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10056508
OR
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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