Individual
KRISTINA TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1096 1350TH ST, LINCOLN, IL 62656-5094
(217) 735-5581
Mailing address
1725 N 11OO EAST RD, TOWER HILL, IL 62571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023611
IL
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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