Individual
MRS. LISA THERESA LIPPINCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 E MAIN ST STE D, TUPELO, MS 38804-4017
(662) 205-6905
(662) 269-6722
Mailing address
210 E MAIN ST, STE 2B, TUPELO, MS 38804-4017
(662) 844-3728
(662) 844-3739
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN18181
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R679054
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02974702
—
MS
Enumeration date
02/21/2007
Last updated
07/23/2020
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